Jennifer Gugick, RN

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

23028018 Issued in AZ

Practice address

5550 E Deer Valley Dr Unit 159
Phoenix, AZ 85054-5662

Phone

(602) 922-3377

Fax

(602) 922-3366

NPI assigned

Jul 30, 2021

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

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centric Care Management Inc

  • Case Management Agency
  • Phoenix, AZ
  • NPI 1316600570
  NPD Authorized official

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1962175208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 E DEER VALLEY DR UNIT 159",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545662",
            "telephone_number": "602-922-3377",
            "fax_number": "602-922-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 E DEER VALLEY DR UNIT 159",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545662",
            "telephone_number": "602-922-3377",
            "fax_number": "602-922-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGICK",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AZ",
            "license": "23028018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse James Guffey, ATC
• Carole D Gugel
• Lynda A Guggemos, R.PH.
• Andrew Joseph Guggenheim
• Cody Guggenmos, DO
• Bridgette Lynn Guhl, PA-C
• Guidance in Life
• Guidance Physical Therapy & Wellness, PLLC
• Guide Anesthesia Az LLC
• Guided Med Spa

• Case Management Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Case Management Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.