Jaclyn Gossman Hauge, L.M., C.P.M

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MW319 Issued in FL

Practice address

2593 Sheffield Dr
Deltona, FL 32738-8808

Phone

(407) 620-2662

Fax

(407) 264-8508

NPI assigned

Dec 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jaclyn Diane Gossman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1013382712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 SHEFFIELD DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327388808",
            "telephone_number": "407-620-2662",
            "fax_number": "407-264-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 SHEFFIELD DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327388808",
            "telephone_number": "407-620-2662",
            "fax_number": "407-264-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGE",
        "first_name": "JACLYN",
        "middle_name": "GOSSMAN",
        "credential": "L.M., C.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "GOSSMAN",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Harris
• Keith D Harris, PT, CMTPT, DAC
• Tiffany Harrison, PTA
• Gabrielle Harter
• Britney M Hatcher
• Andrew Hayden, MD
• Lezlie Hayward, LPN
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• Andrew Henderson, PTA
• Henderson'S Foster Care Home, Inc.

• Midwife in Deltona, FL
• Providers in Deltona, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.