Active NPI
Abbigale Blossom Gujer
- Critical Care Medicine Registered Nurse
- Johnson City, TN
National Provider Identifier
1437828415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 0000246735
- Practice address
- 1811 W Lakeview Dr Apt D8
Johnson City, TN 37601-2173 - Phone
- (218) 820-7727
- NPI assigned
- Sep 13, 2021
- Last updated
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 0000246735 | TN | Primary |
Addresses
Primary practice location
1811 W Lakeview Dr Apt D8
Johnson City, TN 37601-2173
Mailing address
1811 W Lakeview Dr Apt D8
Johnson City, TN 37601-2173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 802232724001 | Other | MN | PREFERREDONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000246735 | TN | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1437828415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 W LAKEVIEW DR APT D8",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 W LAKEVIEW DR APT D8",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012173",
"telephone_number": "218-820-7727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUJER",
"first_name": "ABBIGALE",
"middle_name": "BLOSSOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TN",
"license": "0000246735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "802232724001",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.