Michelle Gough, RN, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95000661 Issued in CA

Practice address

15055 Los Gatos Blvd
Ste 250
Los Gatos, CA 95032-2083

Phone

(408) 418-0808

Fax

(408) 520-4960

NPI assigned

Jun 17, 2015

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)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1770964504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15055 LOS GATOS BLVD",
            "address_2": "STE 250",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322083",
            "telephone_number": "408-418-0808",
            "fax_number": "408-520-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15055 LOS GATOS BLVD",
            "address_2": "STE 250",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322083",
            "telephone_number": "408-418-0808",
            "fax_number": "408-520-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGH",
        "first_name": "MICHELLE",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95000661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Wong MD
• Perry Gordon, DPT
• Sharon M Gordon, PT
• Wendy Lee Gorelick, LMFT
• Vida Goudarzi, RD REGISTERED DIETIT
• Melissa Burnidge Gould, LPCC
• Robert Samuel Gould, MD
• Sanam Govari, DPT
• Jessica Goza, NP
• Kathleen Graham, LMFT, LPCC

• Family Nurse Practitioner in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.