Tequila Chevonne Gaines

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5617 Telluride BLF
Westerville, OH 43081-6719

Phone

(380) 900-2863

NPI assigned

Oct 6, 2025

Last updated

Jul 26, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1265306815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 TELLURIDE BLF",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430816719",
            "telephone_number": "380-900-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 TELLURIDE BLF",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430816719",
            "telephone_number": "380-900-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "TEQUILA",
        "middle_name": "CHEVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Functional Fitness, LTD (Learning in Motion)
• Ashlei Funtjar, MA
• Brenda Gable, MD
• Lacey Noel Gable, D.O.
• Rajendrakumari Gaglani, MD
• Xandula Gaitor-Walker, L.P.C
• Sharmi P Galani, P.A.
• Richard G Gale, Jr.
• Lauren Gallagher
• Maureen Cecelia Gallagher, D.O

• Case Manager/Care Coordinator in Westerville, OH
• Providers in Westerville, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; 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.