JENNA L GAUT (NPI# 1821651589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821651589 |
| Entity Type | Individual |
| Full Name | JENNA L GAUT |
| Credential | CRNP |
| Practice Address |
809 University Blvd E Tuscaloosa AL 35401-2029 |
| Mailing Address |
850 Peter Bryce Blvd Tuscaloosa AL 35401-7457 |
| Practice Telephone | 2057597111 |
| Mailing Telephone | 2053481770 |
| Mailing Fax Number | 2053481772 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-128666 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | STATE LICENSE | 1-128666 | 01 |
| Street Address |
809 UNIVERSITY BLVD E |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751226 | Helena T Buchalter | Pathology | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2005-06-27 |
| 1548873045 | Jerome Edwards | Pharmacy Technician | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-08-25 |
| 1215552021 | Lauren Kyzar | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-06-08 |
| 1912532664 | Clint Winfield Miller | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-03-03 |
| 1124667332 | James Lewis Fenley IIi | Registered Nurse | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2020-01-06 |
| 1609418342 | Joshua Wayne Bankston | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2019-10-15 |
| 1881150738 | Tyler Matthew Elmore | Nurse Anesthetist, Certified Registered | 809 University Blvd E, Tuscaloosa, AL 35401-2071 | 2019-02-15 |
| 1093282691 | Courtney Hendrix | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-11-01 |
| 1841766375 | Haley Tipps | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-10-23 |
| 1619463163 | Relias Emergency Medicine Specialists of Regional, LLC | Emergency Medicine | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2018-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194208439 | Adrian W Roberts | Nurse Practitioner | 100 Rice Mine Road Loop Ste 104, Tuscaloosa, AL 35406-2421 | 2018-09-12 |
| 1174010086 | Lindsey Brooke Reed Pate | Nurse Practitioner | 640 Hartford Dr, Tuscaloosa, AL 35406-1799 | 2018-04-16 |
| 1841735693 | James Stratton Williamson | Nurse Practitioner | 9070 Highway 69 S, Tuscaloosa, AL 35405-8797 | 2017-01-04 |
| 1750837449 | Kaitlin Callaway | Nurse Practitioner | 3643 Northridge Cir, Tuscaloosa, AL 35406-1412 | 2016-09-01 |
| 1881069474 | Dhl Mobile Healthcare LLC | Nurse Practitioner | 7700 Highway 69 S Ste B, Tuscaloosa, AL 35405 | 2015-12-08 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1902288848 | Tiffany Williams | Nurse Practitioner | 700 Stonebrae Rd, Tuscaloosa, AL 35406-2428 | 2015-06-27 |
| 1750761961 | Clara R Owings | Nurse Practitioner | 650 University Blvd E, Tuscaloosa, AL 35401-2016 | 2015-06-02 |
| 1881073591 | Lorie Givens | Nurse Practitioner | 120 Rice Mine Rd N, Tuscaloosa, AL 35406-3901 | 2015-05-27 |
| 1780075077 | Lesley Handjis | Nurse Practitioner | 1100 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2015-02-09 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
Please comment or provide details below to improve the information on JENNA L GAUT.
| 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.