Shirlin Gauthier, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

200550016 Issued in OR

Practice address

2401 River Rd
Ste 101
Eugene, OR 97404

Phone

(541) 431-0631

Fax

(541) 687-8631

NPI assigned

Feb 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Shirlin Gauthier Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1891821005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 DONOHOE AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974027401",
            "telephone_number": "541-207-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RIVER RD",
            "address_2": "STE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97404",
            "telephone_number": "541-431-0631",
            "fax_number": "541-687-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "SHIRLIN",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH0006445",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 618832",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "200550016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLIN",
            "last_name": "GAUTHIER",
            "credential": "D.C., ANP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gateway Gardens Assisted Living, Inc.
• Leigh Gatons, PA
• Kaisha Gauderman
• Jeannine L Gaudreau, RN
• Krystal Viktoria Gauthier-Bell
• Jamyn Gavello
• Kelly Laurian Gavin-Garcia
• Robert Gay, DDS
• Xiaochen Ge
• Reathel Earl Geary III, LMT

• Adult Health Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.