Cathy Jo Gunvalson, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3033 Issued in MN

Practice address

Hwy 1 and Lake St
Red Lake, MN 56644

Phone

(218) 679-3316

Fax

(218) 679-3990

NPI assigned

Feb 26, 2007

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

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659407112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14740 500TH ST",
            "city": "GONVICK",
            "state": "MN",
            "postal_code": "566444173",
            "telephone_number": "218-679-0125",
            "fax_number": "218-679-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 1 AND LAKE ST",
            "city": "RED LAKE",
            "state": "MN",
            "postal_code": "56644",
            "telephone_number": "218-679-3316",
            "fax_number": "218-679-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNVALSON",
        "first_name": "CATHY JO",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "3033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Erin Glessing, PHARM.D.
• Holly Rose Graves
• Michelle Lynn Graves, CNP
• Shianne Whitney Graves, LICSW
• Teresa Renae Grund, R.PH
• Samantha Gustafson
• Athena Hagan, PHARMD
• Kristin Renee' Hamlin-Passes, APRN,BC
• Howard J. Heisler, O.D.
• Jenny Belle Hollis, L.I.C.S.W.

• Dental Hygienist in Red Lake, MN
• Providers in Red Lake, MN by specialty
• Dental Hygienist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.