Kiersten Gauna

Individual provider Active NPI Licensed Practical Nurse · Piedmont, MO

NPI 1083303291 · NPPES record last updated May 3, 2023

Key facts

NPI
1083303291
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
2023006167 (MO)
Practice address
5 Sugar Creek Rd
Piedmont, MO 63957-9612
Phone
(573) 223-7649
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2023006167MOMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Center, Inc. Past
since May 7, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2023006167 MO Yes

Addresses

Primary practice location

5 Sugar Creek Rd
Piedmont, MO 63957-9612

Mailing address

5 Sugar Creek Rd
Piedmont, MO 63957-9612
Phone (573) 223-7649

Other providers in Piedmont, MO

All providers in Piedmont, MO · Licensed Practical Nurse in Missouri

Sources for this page

Verify at the official NPI Registry.