Active NPI
Faith E. Gouge, CRNA
- Certified Registered Nurse Anesthetist
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- L6-0A00690
- Practice address
- 4755 Ogletown Stanton Road
Newark, DE 19718-1320 - Phone
- (302) 733-1000
- Fax
- (302) 733-2685
- NPI assigned
- Jun 6, 2007
- Last updated
- Apr 25, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | L10029071 | DE | |
| Nurse Practitioner | 363L00000X | LJ0000238 | DE | |
| Certified Registered Nurse Anesthetist | 367500000X | L6-0A00690 | DE | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Road
Newark, DE 19718-1320
Mailing address
2 Reads Way
Ste 201
New Castle, DE 19720-1630
Phone (302) 709-4709
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0133612 | Medicaid | NJ | |
| H13391900 | Medicaid | MD |
Other names 1
- Faith E. Blood
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Glasgow Ave
Suite 226
Newark, DE 19702-5709
Phone (302) 836-3539
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000
501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 477-3300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L10029071 | DE | MD | Nurse Practitioner |
| LJ0000238 | DE | MD | Nurse Practitioner |
| L6-0A00690 | DE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Services PA | Current | Accepting new patients | |
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2 Reads Way
Ste 201
New Castle, DE 19720
Phone (302) 709-4504
2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- New Castle, DE
- NPI 1053366377
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1487857629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 READS WAY",
"address_2": "STE 201",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197201630",
"telephone_number": "302-709-4709",
"fax_number": "302-709-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON ROAD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197181320",
"telephone_number": "302-733-1000",
"fax_number": "302-733-2685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUGE",
"first_name": "FAITH",
"middle_name": "E.",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "L10029071",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LJ0000238",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DE",
"license": "L6-0A00690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0133612",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H13391900",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FAITH",
"last_name": "BLOOD",
"middle_name": "E.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.