Active NPI
Gillian Sowers
- Registered Nurse
- Kayenta, AZ
National Provider Identifier
1972133627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041393066
- Practice address
- Hwy 160 MP 394.3
Kayenta, AZ 86033-0368 - Phone
- (217) 923-1998
- Fax
- (928) 697-4029
- NPI assigned
- Jan 22, 2020
- Last updated
- Jan 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041393066 | IL | Primary |
Addresses
Primary practice location
Hwy 160 MP 394.3
Kayenta, AZ 86033-0368
Mailing address
PO Box 2443
Kayenta, AZ 86033-2443
Phone (217) 923-1998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060012 | Medicaid | AZ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041393066 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1972133627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2443",
"city": "KAYENTA",
"state": "AZ",
"postal_code": "860332443",
"telephone_number": "217-923-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 160 MP 394.3",
"city": "KAYENTA",
"state": "AZ",
"postal_code": "860330368",
"telephone_number": "217-923-1998",
"fax_number": "928-697-4029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWERS",
"first_name": "GILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041393066",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060012",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kayenta, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.