Individual provider Active NPI

Gaye E Gouk

  • Registered Dietitian
  • Snoqualmie, WA
National Provider Identifier
1881832350
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI00001365 Issued in WA
Practice address
9575 Ethan Wade Way SE
Snoqualmie, WA 98065-9577
Phone
(425) 831-2321
Fax
(425) 831-2361
NPI assigned
Jan 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI00001365 WA Primary

Addresses

Primary practice location

9575 Ethan Wade Way SE
Snoqualmie, WA 98065-9577

Mailing address

9575 Ethan Wade Way SE
Snoqualmie, WA 98065-9577
Phone (425) 831-2321

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

State licenses

LicenseStateTypeSpecialty
DI00001365WAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1881832350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9575 ETHAN WADE WAY SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659577",
            "telephone_number": "425-831-2321",
            "fax_number": "425-831-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9575 ETHAN WADE WAY SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659577",
            "telephone_number": "425-831-2321",
            "fax_number": "425-831-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUK",
        "first_name": "GAYE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.