Active NPI
Charmaine Muir Gaynor
- Home Health Aide
- Port St Lucie, FL
National Provider Identifier
1720449952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 5211 NW Mayfield LN
Port St Lucie, FL 34983-5348 - Phone
- (772) 446-4747
- NPI assigned
- Mar 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary | ||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
5211 NW Mayfield LN
Port St Lucie, FL 34983-5348
Mailing address
5211 NW
Mayfield Lane
Port St Lucie, FL 34983
Phone (772) 446-4747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004701500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1720449952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5211 NW",
"address_2": "MAYFIELD LANE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34983",
"telephone_number": "772-446-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5211 NW MAYFIELD LN",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349835348",
"telephone_number": "772-446-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYNOR",
"first_name": "CHARMAINE",
"middle_name": "MUIR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-16",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004701500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.