Katie Sue Gump, RN
Individual provider Active NPI Registered Nurse · Woodside, CA
NPI 1831787878 · NPPES record last updated Jan 5, 2021
Key facts
- NPI
- 1831787878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 95102009 (CA)
- Practice address
- 265 Greer Rd
Woodside, CA 94062-4205 - Phone
- (330) 240-4404
- NPI assigned
- Jan 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95102009 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95102009 | CA | Yes |
Addresses
Primary practice location
265 Greer Rd
Woodside, CA 94062-4205
Mailing address
265 Greer Rd
Woodside, CA 94062-4205
Other providers in Woodside, CA
- Norris B Finlayson
- Dwight C Fox
- Antonio Gallardo
- Christen D Greenfield
- Melanie Grubb
- Svetlana Ishchenko
- Jeffery B Jones a Professional Corporation
- Can Jiang
- Elizabeth Johnson
- Jeffery B Jones
All providers in Woodside, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.