MR. GABRIEL GAUDREAU (NPI# 1083179691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083179691 |
| Entity Type | Individual |
| Full Name | MR. GABRIEL GAUDREAU |
| Credential | AT |
| Practice Address |
305 E Mcconnell Dr Apt 4305 Flagstaff AZ 86001-6554 |
| Practice Telephone | 4062178281 |
| Mailing Telephone | 4062178281 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
305 E MCCONNELL DR APT 4305 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-6554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118461 | Shanna Rae Begay | Student in an Organized Health Care Education/Training Program | 208 E Pine Knoll Drive Room 215 Building 66, Flagstaff, AZ 86011-0001 | 2020-09-10 |
| 1518570456 | Ashlyn Marie Herbert | Student in an Organized Health Care Education/Training Program | 2760 E Butler Ave, Flagstaff, AZ 86004-6001 | 2020-08-29 |
| 1154934362 | Meagan E Kasprzyk | Student in an Organized Health Care Education/Training Program | 3800 S Jewel Dr, Flagstaff, AZ 86005-8927 | 2020-08-27 |
| 1790398188 | Isabel Marie Rusten | Student in an Organized Health Care Education/Training Program | 1 W Runke Dr, Flagstaff, AZ 86001-6565 | 2020-08-26 |
| 1447863881 | Nina Hoover | Student in an Organized Health Care Education/Training Program | 208 E Pine Knoll Drive, Flagstaff, AZ 86011-0001 | 2020-08-25 |
| 1447863949 | Kaytlin Larae Quintana | Student in an Organized Health Care Education/Training Program | 1515 S Yale St Apt 5-2a, Flagstaff, AZ 86001-6357 | 2020-08-25 |
| 1568075984 | Kamilya Rae Shupe | Student in an Organized Health Care Education/Training Program | 600 W University Ave Apt 23, Flagstaff, AZ 86001-6353 | 2020-08-25 |
| 1730791401 | Bethany L Osorio | Student in an Organized Health Care Education/Training Program | 2045 W Dolores Ln, Flagstaff, AZ 86005-9022 | 2020-08-23 |
| 1609488444 | Camille Elizabeth Harding | Student in an Organized Health Care Education/Training Program | 2707 Moenkopi Trl, Flagstaff, AZ 86005-3659 | 2020-08-22 |
| 1770195547 | Aundrea Janikowski | Student in an Organized Health Care Education/Training Program | 2383 W Silverton Dr, Flagstaff, AZ 86001-2471 | 2020-08-21 |
| Find all providers in FLAGSTAFF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.