Jackie Gant Caldwell

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703063802 Issued in MI

Practice address

1301 N Hagadorn Rd
East Lansing, MI 48823-2320

Phone

(517) 336-1400

NPI assigned

Apr 27, 2017

Sex

Female

Sole proprietor

No

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1992230973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N HAGADORN RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N HAGADORN RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232320",
            "telephone_number": "517-336-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANT CALDWELL",
        "first_name": "JACKIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703063802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Gahsman, FNP-C
• Karlene Gaither, DNP, RN, FNP-BC
• Kristy Carpenter Galehouse, PT
• Philip Mark Gamber, MSW
• Andrea Lee Ganss, MS, AT, ATC
• Hunter Lynn Gantos
• Jadyn Hope Garchow
• Pablo David Garcia Ortiz
• Damaris Joy Garcia
• Kimberly Garcia, PA-C

• Licensed Practical Nurse in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.