Megan Gottsleben, ACSM EP-C

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

694646 Issued in MI

Practice address

4986 N Adams Rd Ste D
Rochester, MI 48306-5017

Phone

(248) 475-4857

Fax

(248) 475-5777

NPI assigned

Jun 8, 2015

Last updated

Jun 8, 2015By the provider in NPPES

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 identifiers 1

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1053791756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4986 N ADAMS RD STE D",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483065017",
            "telephone_number": "248-475-4857",
            "fax_number": "248-475-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4986 N ADAMS RD STE D",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483065017",
            "telephone_number": "248-475-4857",
            "fax_number": "248-475-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTSLEBEN",
        "first_name": "MEGAN",
        "credential": "ACSM EP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "MI",
            "license": "694646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACSM EP-C",
            "identifier": "694646",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dale Anthony Gonzales, MD
• Denise Gordon
• Kelly Suzanne Gordon, OTR
• Wendy Terese Goryca-Rooney, MA, CCC-SLP
• Lorne M Gottesman, O.D.
• Dawn M Goulding, M.D.
• Umesh G Gowda, M.D.
• Great Lakes Hearing Care
• Daniel J Greene, M.D.
• Gregg D. Bobier, DMD, PC

• Health Educator in Rochester, MI
• Providers in Rochester, MI by specialty
• Health Educator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.