Danicklyn Gullage

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

7449 Smyrna St
Jacksonville, FL 32208-3346

Phone

(904) 718-8955

NPI assigned

Oct 23, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1245706753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7449 SMYRNA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083346",
            "telephone_number": "904-718-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7449 SMYRNA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083346",
            "telephone_number": "904-718-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLAGE",
        "first_name": "DANICKLYN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faheem Wagid Guirgis, M.D.
• George Michael Guise Jr., D.M.D., M.S.
• Arun C Gulani, M.D
• Suparna A Gulani, M.D
• Kevin Gulig
• Brandon Cierra Gullatt
• Lacy Danielle Gulledge, ARNP
• Jasmine Gullett, BCBA
• Edwin Howard Gullison Jr., CRNA
• Staci Gullman, PTA

• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.