Samantha Jaye Gatewood, NP

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

209022251 Issued in IL

Practice address

600 W Chicago Ave Ste 1
Chicago, IL 60654-2802

Phone

(312) 625-0845

NPI assigned

Mar 8, 2021

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Bian Chicago Medical Management Services LLC

  • General Practice Physician
  • Chicago, IL
  • NPI 1790384386
  NPD
• Marcie a. Claybon MD PLLC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1114524485
  NPD

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1992390397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606542801",
            "telephone_number": "312-259-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CHICAGO AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606542802",
            "telephone_number": "312-625-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATEWOOD",
        "first_name": "SAMANTHA",
        "middle_name": "JAYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2024-04-30",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "209022251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway Professional Services, PC
• Gateway Professional Services, PC
• Gateway Professional Services, PC
• Gateway Professional Services, PC
• Gateway to Learning
• Gather Sparks Corporation
• Tiffany Gati
• Jan Andy Dongon Gatillo
• Peggy Gatsinos, MD
• Phillip A. Gattas, D.C.

• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.