Sara Gantz

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60067724 Issued in WA

Practice address

12704 SE 318TH Way
Auburn, WA 98092-3672

Phone

(206) 234-4159

NPI assigned

Dec 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1215358460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12704 SE 318TH WAY",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980923672",
            "telephone_number": "206-234-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12704 SE 318TH WAY",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980923672",
            "telephone_number": "206-234-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTZ",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60067724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer K Gallion, LMP
• John J Gallucci, MD
• Shayna Kay Gambs, SOCIAL WORKER
• Tennille Rose Gammelgaard, COTA/L
• Marichelle Mercado Gamolo, LMP
• Ying Gao, CMT, MPL
• Nedal Gara, M.D.
• Ariana Inglis Paloma Garcia Reyes, BD61628462
• Alfa Garcia, MD
• Esperanza Garcia

• Licensed Practical Nurse in Auburn, WA
• Providers in Auburn, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.