Lena Gaddy

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

7139 Issued in AK

Practice address

5 Woodbine CT
Washington, MO 63090-5614

Phone

(636) 221-5867

NPI assigned

Aug 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1679973473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WOODBINE CT",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905614",
            "telephone_number": "636-221-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WOODBINE CT",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905614",
            "telephone_number": "636-221-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDY",
        "first_name": "LENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "7139",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2006029385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas W Frederickson, M.D.
• Ashley Freund, OTA
• Julie Frick
• Katie Marie Frillman, CRNA
• William H Fritz, MD
• Alissa Nadia Galas, MD
• Christopher Galvin, DNP, CRNA
• Cristina M Garcilaso
• Mitchell Gardner, PHARMD
• Kristi Garner, LPC, LMFT

• Licensed Practical Nurse in Washington, MO
• Providers in Washington, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.