# MR. GREGORY JAMES GAST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326218959
- **Gender:** Man
- **Credential:** ACNS-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 70000205A | IN | Yes |
| 364SA2200X | Adult Health Clinical Nurse Specialist | 70000205 B- CSR | IN | — |
| 364SA2200X | Adult Health Clinical Nurse Specialist | 70000205A | IN | — |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | \# 8516128094 | CERTIFIED MEDICAL EXAMINER FOR THE FMCSA | IN |
| 01 | — | 11832397 | CAQH \# | IN |
| 01 | — | 1326218959 | NATIONAL PROVIDER INFORMATION | IN |
| 01 | — | 2006010571 | AMERICAN NURSES CREDENTIALING CENTER | IN |
| 01 | — | 28132624A | REGISTERED NURSE LICENSURE | IN |
| 01 | — | 70000205A | ADVANCED PRACTICE LICENSURE | IN |
| 01 | — | 70000205B | CONTROLLED SUBSTANCE REGISTRATION | IN |
| 05 | — | LPI \# 201262530 | — | IN |