Individual provider Active NPI

Caitlin Ann Gausvik, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1831743194
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN239047 Issued in GA
Practice address
5670 Peachtree Dunwoody Rd Ste 1000
Atlanta, GA 30342-4790
Phone
(404) 255-1930
Fax
(404) 459-8510
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN239047 GA Primary

Addresses

Primary practice location

5670 Peachtree Dunwoody Rd Ste 1000
Atlanta, GA 30342-4790

Mailing address

5670 Peachtree Dunwoody Rd Ste 1000
Atlanta, GA 30342-4790
Phone (404) 255-1930

Other identifiers 1

IdentifierTypeStateIssuer
RN239047OtherGALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BMT-10375 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20190905003173 GA Practitioner - Nurse Practitioner 3577892215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN239047GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1831743194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424790",
            "telephone_number": "404-255-1930",
            "fax_number": "404-459-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424790",
            "telephone_number": "404-255-1930",
            "fax_number": "404-459-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSVIK",
        "first_name": "CAITLIN",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN239047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN239047",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BMT-10375",
            "affiliation": "N",
            "endpointDescription": "PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5670 Peachtree Dunwoody Rd Ste 1000",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303424790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.