Gwen A Guegold, F.N.P.
Individual provider Active NPI Family Nurse Practitioner · Englewood, TN
NPI 1104864602 · NPPES record last updated Jan 10, 2014
Key facts
- NPI
- 1104864602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN5518 (TN)
- Practice address
- 3360 Highway 411 N
Englewood, TN 37329-5276 - Phone
- (423) 887-5131
- Fax
- (423) 887-5917
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN49800 | TN | MD | Registered Nurse |
| APN5518 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Health Systems | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5518 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN5518 | TN | Yes |
| Registered Nurse | 163W00000X | RN49800 | TN |
Addresses
Primary practice location
3360 Highway 411 N
Englewood, TN 37329-5276
Mailing address
6350 W Andrew Johnson Hwy
Department 100
Talbott, TN 37877-8605
Phone (800) 355-3565
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3072348 | Other | TN | BLUE CROSS BLUE SHIELD # |
| 3344283 | Medicaid | TN |
Other providers in Englewood, TN
- Kassidi Blake Freeman
- Susan R Goble
- God'S Grace Housing LLC
- Rebecca J Green
- Lacie Gail Gudger
- Kayla Hall
- Tracey Irene Haun
- Amy Lynn Hooper
- Rebecca Hulslander
- Trina Suann Ingram
All providers in Englewood, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.