Chiaki Gauntt MD PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

39795 Issued in KY

Legal business name

CHIAKI GAUNTT MD PLLC

Practice address

1917 S Highway 53
La Grange, KY 40031-8574

Phone

(502) 645-8539

Fax

(812) 944-5496

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Donna M Applegate, COT

Title

Practice Administrator

Phone

(502) 645-8539

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1285813469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 MINT SPRING BRANCH RD",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400598614",
            "telephone_number": "502-645-8539",
            "fax_number": "812-944-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 S HIGHWAY 53",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400318574",
            "telephone_number": "502-645-8539",
            "fax_number": "812-944-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIAKI GAUNTT MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "APPLEGATE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "502-645-8539",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COT"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KY",
            "license": "39795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Carter
• Cynthia Cates
• Tracie Lynn Caudill
• Kristie R. Cheek, M.S., CCC-SLP
• Rebecca Joyce Chesser, IECE
• Tannika Christensen, M.D.
• Sarah Elizabeth Clark, APRN
• Vincent Devin Clark
• Ashli N Collins, M.D.
• Jenna Collins

• Medical Specialty Clinic/Center in La Grange, KY
• Providers in La Grange, KY by specialty
• Medical Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.