Gwendolyn Upshaw

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

145673 Issued in OH

Practice address

4123 Grace St
East Chicago, IN 46312-2924

Phone

(937) 974-6277

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1952952798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 GRACE ST",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463122924",
            "telephone_number": "937-974-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 GRACE ST",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463122924",
            "telephone_number": "937-974-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPSHAW",
        "first_name": "GWENDOLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "145673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew C Trgovich, PHARM.D.
• Truenorth Medicalgroup LLC
• Kiriaki Tsahas
• Angela C Tucker-Griffith, LCSW
• Michael Turner, CRNA
• Rheba Jean Upshaw, PHARMD
• Laura Uzelac, MSW, LCSW, LCAC
• Janos Antal Uzonyi, MD
• Angelina L Valente
• Eduardo Valle, OTR/L

• Licensed Practical Nurse in East Chicago, IN
• Providers in East Chicago, IN by specialty
• Licensed Practical Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.