Kelly Gathman, CHES

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

W227N6103 Sussex Rd
Sussex, WI 53089-3969

Phone

(414) 566-8426

NPI assigned

Feb 11, 2020

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1548892193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 W CENTRAL AVE",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328627",
            "telephone_number": "847-544-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W227N6103 SUSSEX RD",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893969",
            "telephone_number": "414-566-8426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 S 108th St",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532141100",
            "country_code": "US",
            "telephone_number": "414-566-8426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W224N3322 Duplainville Rd",
            "address_purpose": "LOCATION",
            "city": "Pewaukee",
            "state": "WI",
            "postal_code": "530724137",
            "country_code": "US",
            "telephone_number": "414-566-8426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATHMAN",
        "first_name": "KELLY",
        "credential": "CHES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Fox, PHARMD
• Debra Lynn Fredrichs, RN
• Joyce Frison
• James M Frisvold, D.O.
• Emily Anne Gajewski, MS, CCC-SLP
• Elizabeth M Gehl, PT
• Melissa Nichole Geurtsen
• Shandell L Geyer, RN
• Elizabeth J Goodsite Bondy, LPC
• Tracy Lynn Gordon, RN

• Health Educator in Sussex, WI
• Providers in Sussex, WI by specialty
• Health Educator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.