Jennifer Gaucin, LMT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

MT-06626P Issued in AZ

Practice address

7012 W Almeria Rd
Phoenix, AZ 85035-4619

Phone

(602) 330-8787

NPI assigned

Apr 20, 2017

Last updated

Apr 20, 2017By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1891220455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7664",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 W ALMERIA RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850354619",
            "telephone_number": "602-330-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUCIN",
        "first_name": "JENNIFER",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AZ",
            "license": "MT-06626P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michielle Gatti, LMFT
• Amber Gattie
• Joan Gatz, NNP
• Laura Anne Gatz, PMHNP
• Cathy Gau, NP
• Mallory Rae Gaughan
• Joseph Frank Gaunt, LCSW, ACSW, BCD
• Micalynn Eve Gauntlett
• Rajan Gaur, M.D.
• Kellie Ann Gaura

• Community Health Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community Health Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.