Individual provider Active NPI

Micah Gunn

  • Electroneurodiagnostic Specialist/Technologist
  • Brentwood, TN
National Provider Identifier
1215482393
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
2847 Issued in CA
Practice address
750 Old Hickory Blvd
BLDG 2, Ste 150
Brentwood, TN 37027-4528
Phone
(484) 351-8459
Fax
(484) 351-8810
NPI assigned
Aug 18, 2016
Last updated
Aug 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 2847 CA Primary

Addresses

Primary practice location

750 Old Hickory Blvd
BLDG 2, Ste 150
Brentwood, TN 37027-4528

Mailing address

750 Old Hickory Blvd
BLDG 2, Ste 150
Brentwood, TN 37027-4528
Phone (484) 351-8459

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1215482393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 OLD HICKORY BLVD",
            "address_2": "BLDG 2, STE 150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274528",
            "telephone_number": "484-351-8459",
            "fax_number": "484-351-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 OLD HICKORY BLVD",
            "address_2": "BLDG 2, STE 150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274528",
            "telephone_number": "484-351-8459",
            "fax_number": "484-351-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "MICAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "CA",
            "license": "2847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.