Individual provider Active NPI

Caryn M Gayson, RN, PHN, BSN

  • School Registered Nurse
  • Santa Cruz, CA
National Provider Identifier
1053893537
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
540173 Issued in CA
Practice address
984 Bostwick LN Ste 1
Santa Cruz, CA 95062-1775
Phone
(831) 475-6333
Fax
(831) 475-2638
NPI assigned
Aug 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 540173 CA Primary

Addresses

Primary practice location

984 Bostwick LN Ste 1
Santa Cruz, CA 95062-1775

Mailing address

984 Bostwick LN Ste 1
Santa Cruz, CA 95062-1775
Phone (831) 475-6333

Other names 1

  • Caryn M Daughters Former name

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
540173CAMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Live Oak Elementary School District Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1053893537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 BOSTWICK LN STE 1",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621775",
            "telephone_number": "831-475-6333",
            "fax_number": "831-475-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 BOSTWICK LN STE 1",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621775",
            "telephone_number": "831-475-6333",
            "fax_number": "831-475-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYSON",
        "first_name": "CARYN",
        "middle_name": "M",
        "credential": "RN, PHN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "540173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARYN",
            "last_name": "DAUGHTERS",
            "middle_name": "M",
            "credential": "RN, PHN, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.