Individual provider Active NPI

Renee Gudgel, APRN-CNS

  • Acute Care Clinical Nurse Specialist
  • Oklahoma City, OK
National Provider Identifier
1154707131
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
101697 Issued in OK
Practice address
701 N Broadway Ave
Suite 430
Oklahoma City, OK 73102-6006
Phone
(405) 708-7963
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 101697 OK Primary

Addresses

Primary practice location

701 N Broadway Ave
Suite 430
Oklahoma City, OK 73102-6006

Mailing address

701 N Broadway Ave
Suite 430
Oklahoma City, OK 73102-6006
Phone (405) 708-7963

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
Credentials
Certified Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1154707131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N BROADWAY AVE",
            "address_2": "SUITE 430",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731026006",
            "telephone_number": "405-708-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N BROADWAY AVE",
            "address_2": "SUITE 430",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731026006",
            "telephone_number": "405-708-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDGEL",
        "first_name": "RENEE",
        "credential": "APRN-CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "OK",
            "license": "101697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

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