Donna Jean Gunn

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Practice address

320 Pettigrew St
Henderson, NC 27536-4259

Phone

(252) 205-4325

NPI assigned

May 4, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1992440861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PETTIGREW ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364259",
            "telephone_number": "252-205-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PETTIGREW ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364259",
            "telephone_number": "252-205-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "853256493",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guardian Angel Healthcare, LLC (Esther's Place Facility)
• Guardian Angel Healthcare, LLC (The Alliance Center 2)
• Guardian Angel Healthcare, LLC (Shelton's Place Facility)
• Guardian Angel Healthcare,LLC (Charles Street Facility)
• Wana M Gulledge, FNP-C
• Nikesha Gupton-Alston, FNP-BC
• Felicia Sanders Gupton, MSW, LCSWA
• James Michael Hackbarth, LPCA
• Tyler Hadbavny
• Paul Hagan Jr., M.D.

• Assisted Living Facility (Mental Illness) in Henderson, NC
• Providers in Henderson, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.