Sunny M Gaut, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00025123 Issued in WA

Practice address

114 W Walnut St
Centralia, WA 98531-4021

Phone

(360) 701-3642

NPI assigned

Jan 4, 2008

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

State licenses

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1326223611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 SW KELLY AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323719",
            "telephone_number": "360-701-3642",
            "fax_number": "360-748-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W WALNUT ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314021",
            "telephone_number": "360-701-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUT",
        "first_name": "SUNNY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00025123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Hayes Gardner, CG60997225 - AAC
• Stefania Katharina Garofoli
• Jonathan Gashel
• Gather Church
• Wangari Gathungu, NP
• Theodore Russell Gavel, CRNA
• Vicky Anne Gee, CPC, AAC
• Patricia Robin Geist, LMHC
• Genoa Healthcare LLC
• Donald Ethan Germann

• Specialist in Centralia, WA
• Providers in Centralia, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.