Julie C Gauderman, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R170263-7 Issued in MN

Practice address

13911 Ridgedale Dr
Hopkins, MN 55305

Phone

(952) 932-0998

Fax

(952) 932-7122

NPI assigned

Jun 18, 2009

Last updated

Jun 13, 2018By the provider in NPPES

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

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jzerwas359205@direct.centracare.com

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.

• Dream Safe Anesthesia P.C.

  • Certified Registered Nurse Anesthetist
  • Minneapolis, MN
  • NPI 1487501144

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Centracare Clinic

  dba CentraCare - River Campus Clinic

  • Multi-Specialty Clinic/Center
  • Saint Cloud, MN
  • NPI 1043212665
  Medicare reassignment NPD
• Centracare Clinic

  dba Central Minnesota Child Advocacy Center (CAC)

  • Exclusive Provider Organization
  • Sartell, MN
  • NPI 1962958611
  NPD

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1578790416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553051771",
            "telephone_number": "952-932-0998",
            "fax_number": "952-932-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "55305",
            "telephone_number": "952-932-0998",
            "fax_number": "952-932-7122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9645 Grove Cir N Ste 250",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694466",
            "country_code": "US",
            "telephone_number": "763-201-8191",
            "fax_number": "763-201-8192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUDERMAN",
        "first_name": "JULIE",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R170263-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Joan Furey, CMT
• Kara Fyfe, RN
• Louanne Gaalaas, RN
• Christa Gale, LICSW
• Maria Elena Garcia
• Hodan Abdinoor Geelle
• Emily Geldert, LICSW
• Gendler Dental Center Inc
• Joseph Gendler, DDS
• Kelly Ann Gherity

• Certified Registered Nurse Anesthetist in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.