Kim Michelle Gause

Primary specialty

ContractorTaxonomy code 171W00000X

License

G200469603977 Issued in MI

Practice address

8300 W Parkway St
Detroit, MI 48239-1182

Phone

(313) 516-5252

NPI assigned

Jul 20, 2026

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

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1396665113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W PARKWAY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482391182",
            "telephone_number": "313-516-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W PARKWAY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482391182",
            "telephone_number": "313-516-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSE",
        "first_name": "KIM",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MI",
            "license": "G200469603977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Lee Gatz, MD
• Jaina Avery Gaudette, MD
• Joshua Tear Gaudette, MD
• Andrew Jerome Gauger
• Amber Lynn Gaulden, MD
• Terrilynne Gause, MSW
• Chester Bernard Gauss IV, MD
• Agustin Felipe Gavidia Rosario, M.D.
• Camille Gavin
• Venecya Latonya Gavin

• Contractor in Detroit, MI
• Providers in Detroit, MI by specialty
• Contractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.