Tamie Lynn Gaeth

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

2883533 Issued in MI

Practice address

2762 Pigeon Rd
Bad Axe, MI 48413-9738

Phone

(989) 551-5204

Fax

(989) 269-0224

NPI assigned

Sep 20, 2021

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

Other identifiers 1

Electronic endpoints 1

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1295405249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2762 PIGEON RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139738",
            "telephone_number": "989-551-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2762 PIGEON RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139738",
            "telephone_number": "989-551-5204",
            "fax_number": "989-269-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAETH",
        "first_name": "TAMIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": "2883533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86-1482247",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "electronic",
            "affiliation": "N",
            "endpointDescription": "electronic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bad Axe",
            "address_1": "2762 Pigeon Rd",
            "city": "Bad Axe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484139738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Fritz
• FTS, L3C
• Justin Fura
• Dorreen Furness
• Future Focused Therapies LLC
• Teresa Lynn Gage
• Jose Manuel Garcia, BSW
• Rhonda Gehring
• Genoa Healthcare LLC
• Mark A Gerisch, MA, LPC

• All providers in Bad Axe, MI
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.