Lavette Denise Gulley

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

110702 Issued in FL

Practice address

116 S Magnolia Ave # 3D
Ocala, FL 34471-1178

Phone

(352) 348-3509

Fax

(800) 372-7015

NPI assigned

Jul 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Serenity Companion Service, Inc.

  • Community/Behavioral Health Agency
  • Ocala, FL
  • NPI 1013366939

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1336451848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FIR TRAIL CRSE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344724220",
            "telephone_number": "352-348-3509",
            "fax_number": "800-372-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S MAGNOLIA AVE # 3D",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711178",
            "telephone_number": "352-348-3509",
            "fax_number": "800-372-7015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 WALTERS PLACE",
            "address_purpose": "LOCATION",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "34731",
            "country_code": "US",
            "telephone_number": "352-348-3509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULLEY",
        "first_name": "LAVETTE",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "FL",
            "license": "231201",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "231201",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "8672",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "231201",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "110702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005659",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000565901",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000565900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guillot Enterprises, LLC
• Elisabeth Guinn
• Esther Guirand, RN
• Gulf-to-Bay Anesthesiology Associates LLC
• Stephen Wesley Gullett
• Siva S. Gummadi, M.D.
• Sri Ram Charan Gundapaneni
• Kevin Gunderson, DO
• William Crockett Gunn, RPH
• Jackie J Gunter, RPH

• Nurse's Aide in Ocala, FL
• Providers in Ocala, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.