Individual provider Active NPI

Gaylea McDougal, CPM-TN

  • Midwife
  • Portland, TN
National Provider Identifier
1184952137
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
71 Issued in TN
Practice address
199 McDougal LN
Portland, TN 37148-4998
Phone
(615) 243-4830
Fax
(615) 527-7423
NPI assigned
Dec 3, 2009
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 71 TN Primary

Addresses

Primary practice location

199 McDougal LN
Portland, TN 37148-4998

Mailing address

199 McDougal LN
Portland, TN 37148-4998
Phone (615) 243-4830

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

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1184952137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 MCDOUGAL LN",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371484998",
            "telephone_number": "615-243-4830",
            "fax_number": "615-527-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MCDOUGAL LN",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371484998",
            "telephone_number": "615-243-4830",
            "fax_number": "615-527-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGAL",
        "first_name": "GAYLEA",
        "credential": "CPM-TN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TN",
            "license": "71",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.