Danielle L Gosser, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10001555A Issued in IN

Practice address

2100 W Clinch Ave
120
Knoxville, TN 37916-2288

Phone

(865) 637-7290

Fax

(865) 637-7289

NPI assigned

Jul 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Pediatric Urology, PC

  • Specialist
  • Knoxville, TN
  • NPI 1396779039
  Medicare reassignment
• Mesa Indiana Ed Associates, LLC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1003250473

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1730521667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W CLINCH AVE",
            "address_2": "120",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162288",
            "telephone_number": "865-637-7290",
            "fax_number": "865-637-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CLINCH AVE",
            "address_2": "120",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162288",
            "telephone_number": "865-637-7290",
            "fax_number": "865-637-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSER",
        "first_name": "DANIELLE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001555A",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2669",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "2669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin L Goss
• David Layton Gossage, MD
• Hope L Gosselin, PSY.D.
• Robert R Gosselin, PSY.D.
• Wesley Gosselin, MSSW
• Amanda Joy Gossett
• Annette Gossett, RDH
• Julia Gossett
• Paul Gossett, CRNA
• Rebecca Gossett

• Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.