LACIE GAIL GUDGER (NPI# 1114405354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114405354 |
| Entity Type | Individual |
| Full Name | LACIE GAIL GUDGER |
| Other Name | LACIE GAIL THOMPSON |
| Credential | NP-C |
| Practice Address |
3360 Highway 411 N Englewood TN 37329-5276 |
| Mailing Address |
6350 W Andrew Johnson Hwy Talbott TN 37877-8605 |
| Practice Telephone | 4238875131 |
| Practice Fax Number | 4238875917 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN181114 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN24561 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3360 HIGHWAY 411 N |
| City | ENGLEWOOD |
| State | TN |
| Zip Code | 37329-5276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437106416 | Rebecca J Green | Social Worker | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2006-05-27 |
| 1346884194 | Amy Lynn Hooper | Nurse's Aide | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2019-11-05 |
| 1346804127 | Cassandra Torbett | Nurse's Aide | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2019-04-26 |
| 1770042467 | Ashlee Reagan | Registered Nurse | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2019-03-13 |
| 1275003691 | Keri Lynn Workman | Licensed Practical Nurse | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2018-11-28 |
| 1821563693 | Tracey Irene Haun | Nurse's Aide | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2018-10-09 |
| 1700361474 | Shanna Lei Becker | Licensed Practical Nurse | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2018-09-28 |
| 1740760883 | Daniele Marie Kilian | Licensed Practical Nurse | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2018-08-17 |
| 1346728383 | Tonya Michelle Moses | Nurse's Aide | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2018-08-01 |
| 1770074932 | Kassidi Blake Freeman | Case Manager/Care Coordinator | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2018-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568770956 | Eve Marla Seagal | Counselor | 3360 Hwy 411 N, Englewood, TN 37329 | 2010-09-20 |
| 1437368073 | Mary M Duvall | Internal Medicine | 3360 Highway 411 North, Englewood, TN 37329 | 2007-05-21 |
| 1902136062 | Leigh Ann Foster | Counselor | 3360 Highway 411 North, Englewood, TN 37329 | 2010-01-12 |
| 1225075781 | Monica N Masingale | Registered Nurse | 321 W Athens St, Englewood, TN 37329-3269 | 2006-06-01 |
| 1588110365 | Deidre Brown | Nurse Practitioner | 321 W Athens St, Englewood, TN 37329-3269 | 2016-08-31 |
| 1649538109 | Masingale Family Practice LLC | Nurse Practitioner | 321 W Athens St, Englewood, TN 37329-3269 | 2012-05-02 |
| 1386878403 | Cherokee Health Systems | Psychologist | 3360 Highway 411 North, Englewood, TN 37329-3269 | 2009-05-04 |
| 1316016660 | Englewood Medical Clinic | Family Medicine | 321 W Athens St, Englewood, TN 37329-3269 | 2006-11-08 |
| 1023634557 | Englewood Rural Fire Department | Ambulance | 107 Carroll St, Englewood, TN 37329-3295 | 2020-06-20 |
| 1710051339 | Elizabeth Wilson Truelove | Pharmacist | 18 Church St, Englewood, TN 37329-3301 | 2006-11-17 |
| Find all providers in zip 37329 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508495821 | Jawana Lynn Watson | Nurse Practitioner | 307 Kristina Lynn Pl, Englewood, OH 45322-2354 | 2020-04-07 |
| 1003449737 | Michelle May Roe | Nurse Practitioner | 21 Oakland St, Englewood, NJ 07631-2112 | 2020-02-21 |
| 1528608197 | Ashley Lynn Thompson | Nurse Practitioner | 885 N Union Rd., Englewood, OH 45322 | 2020-01-13 |
| 1619518453 | Theresa Carol Lee | Nurse Practitioner | 420 Grand Ave Ste 101, Englewood, NJ 07631-4141 | 2019-10-02 |
| 1194373977 | Jane Uloma Ibe | Nurse Practitioner | 4018 Clearstream Way, Englewood, OH 45322-1458 | 2019-08-26 |
| 1932768330 | Laurie Ann Cucco | Nurse Practitioner | 3302 Riverview Ave, Englewood, NJ 07631-8720 | 2019-06-10 |
| 1326522848 | Quynh Doan | Nurse Practitioner | 2828 S Mccall Rd Ste 8, Englewood, FL 34224-9516 | 2018-09-20 |
| 1669998464 | Jennifer Diane Novotny | Nurse Practitioner | 3333 S Bannock St Ste 400, Englewood, CO 80110-2436 | 2017-08-14 |
| 1003366949 | Tiffany Kristine Lamarca | Nurse Practitioner | 2061 Englewood Rd Ste 5, Englewood, FL 34223 | 2016-10-04 |
| 1851844211 | Sm Medical LLC | Nurse Practitioner | 1008 Sunset Dr, Englewood, OH 45322-2253 | 2016-08-02 |
| Find all providers in ENGLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.