Individual provider Active NPI

Lauren Colleen Gaskill, MSPT

  • Specialist
  • Charlotte, NC
National Provider Identifier
1922330117
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
P12289 Issued in NC
Practice address
1209 S College St
Apt 2108
Charlotte, NC 28203-4368
Phone
(856) 430-0297
NPI assigned
Feb 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X P12289 NC Primary

Addresses

Primary practice location

1209 S College St
Apt 2108
Charlotte, NC 28203-4368

Mailing address

1209 S College St
Apt 2108
Charlotte, NC 28203-4368
Phone (856) 430-0297

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
P12289NCMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1922330117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 S COLLEGE ST",
            "address_2": "APT 2108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034368",
            "telephone_number": "856-430-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 S COLLEGE ST",
            "address_2": "APT 2108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034368",
            "telephone_number": "856-430-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKILL",
        "first_name": "LAUREN",
        "middle_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "P12289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.