Individual provider Active NPI

Theresa M. Gies, RN/CPNP

  • Registered Nurse
  • Elyria, OH
National Provider Identifier
1962641266
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN# 122838 Issued in OH
Practice address
9880 South Murray Ridge Road
Lorain County General Health District
Elyria, OH 44035
Phone
(440) 322-6367
Fax
(440) 322-0911
NPI assigned
Feb 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN# 122838 OH Primary
Nurse Practitioner 363L00000X CNCP# NP02032 OH

Addresses

Primary practice location

9880 South Murray Ridge Road
Lorain County General Health District
Elyria, OH 44035

Mailing address

9880 South Murray Ridge Road
Elyria, OH 44035
Phone (440) 322-6367

Other identifiers 1

IdentifierTypeStateIssuer
2640379MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN# 122838OHMDRegistered Nurse
CNCP# NP02032OHMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1962641266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 SOUTH MURRAY RIDGE ROAD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "44035",
            "telephone_number": "440-322-6367",
            "fax_number": "440-322-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 SOUTH MURRAY RIDGE ROAD",
            "address_2": "LORAIN COUNTY GENERAL HEALTH DISTRICT",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "44035",
            "telephone_number": "440-322-6367",
            "fax_number": "440-322-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIES",
        "first_name": "THERESA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "RN/CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN# 122838",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "CNCP# NP02032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2640379",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.