Active NPI
Alana Gottler
- Other Technician
- Algonac, MI
National Provider Identifier
1073961025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1006 State St
Algonac, MI 48001-1448 - Phone
- (810) 278-3707
- NPI assigned
- Jun 1, 2016
- Last updated
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | NU | Primary | |
| Clinical Social Worker | 1041C0700X | 6801115768 | MI |
Addresses
Primary practice location
1006 State St
Algonac, MI 48001-1448
Mailing address
9385 Folkert Rd
Clay, MI 48001-4332
Phone (810) 278-3706
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801115768 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1073961025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9385 FOLKERT RD",
"city": "CLAY",
"state": "MI",
"postal_code": "480014332",
"telephone_number": "810-278-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 STATE ST",
"city": "ALGONAC",
"state": "MI",
"postal_code": "480011448",
"telephone_number": "810-278-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTLER",
"first_name": "ALANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-01",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801115768",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Algonac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.