Gateway Health Wellness and Aesthetics

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

GATEWAY HEALTH WELLNESS AND AESTHETICS

Practice address

6000 S McClintock Dr Ste a&B
Tempe, AZ 85283-3266

Phone

(973) 731-6253

NPI assigned

Jul 6, 2024

Organization subpart

No

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

Authorized official

Name

Pansy M Harris-Lane, NPNPI 1063625135

Title

Owner/Provider

Phone

(973) 731-6253

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pansy Maureen Harris-Lane, NP

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1063625135

  Acute Care

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1346086501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 E CLINTON ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606446",
            "telephone_number": "973-731-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S MCCLINTOCK DR STE A&B",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833266",
            "telephone_number": "973-731-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY HEALTH WELLNESS AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-06",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS-LANE",
        "authorized_official_first_name": "PANSY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "973-731-6253",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Garrone, LCSW
• Camille Ana Garza, PH.D.
• Rebecca Diane Gassett, RN, MS, CPNP
• Bryan Gastelle, PSYD
• Gateway Air Ambulance Inc.
• Genny L Gaustad, MC
• Amy Lee Gauthier
• Jeffrey W Gaver, MD
• Aaron M Gayda, LMT
• GBH Dental LLC

• Acute Care Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.