Christy L Gwynn

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-079-070 Issued in NC

Practice address

116 Gwynn Dr
Reidsville, NC 27320-8710

Phone

(336) 327-6284

Fax

(336) 349-4531

NPI assigned

Dec 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Christy L Gwynn Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1508002213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2361",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273232361",
            "telephone_number": "336-327-6284",
            "fax_number": "336-349-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 GWYNN DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273208710",
            "telephone_number": "336-327-6284",
            "fax_number": "336-349-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWYNN",
        "first_name": "CHRISTY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-079-070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "GWYNN",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "ADM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Courtney Grooms, PA-C
• Dresden Louise Grover, COTA/L
• Joseph Anthony Guarino, M.D.
• Guilford Emergency Physicians PA
• Aisha Dyne Gunn, CADC-R
• Gwynn'S Consulting, LLC
• Morgan Elise Hackett, LCSWA
• Keith Daniel Hairston, LCMHCA
• John Zachariah Hall II, M.D.
• Steven James Halm, D.O.

• Assisted Living Facility in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.