Evelyn Gauntlett

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA17638 Issued in FL

Practice address

1347 Sunset Ave
Lakeland, FL 33801-6544

Phone

(305) 608-3461

NPI assigned

Dec 29, 2020

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

State licenses

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1275120974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 SUNSET AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 SUNSET AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016544",
            "telephone_number": "305-608-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUNTLETT",
        "first_name": "EVELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Beatrice Mooney Gaudette, LCSW
• Morissa Gaughran, DO
• Andrew Christian Gaugler, D.O.
• Sarah M. Gaugler, D.O.
• Araceli Gauna-Scattolini, LMHC
• Valerie Joyce Gavigan-Glover, LMT
• Kathleen Gawlik
• William Robert Geasa Jr., ATC
• Tammy Gebo-Seaman, DO
• Lucie Gedeum-Hippolyte, APRN

• Occupational Therapy Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.