LEANNE GOLD GOTTSCHALK FNP NPI 1780810507

NPI Information

NPI: 1780810507
Provider Name: LEANNE GOLD GOTTSCHALK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3901 PELHAM RD
GREENVILLE, SC
ZIP 29615
Phone: (864) 288-3672
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Leanne Gold Gottschalk, FNP is a family nurse practitioner in Greenville, SC with 15 years of experience. Leanne Gold Gottschalk, FNP NPI is 1780810507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3901 PELHAM RD
GREENVILLE, SC
ZIP 29615-004
Phone: (864) 288-3672

The NPI 1780810507 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2009 and was last updated on 12/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		3902	SOUTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	3902	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7004602	MEDICAID	NORTH CAROLINA
2	P00869627	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE
3	1780810507	MEDICAID	SOUTH CAROLINA
4	NP1484	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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