GWEN A GUEGOLD F.N.P.
NPI 1104864602
Nurse Practitioner - Family in Englewood, TN

Q: What is Gwen Guegold's NPI number?

The NPI number for Gwen Guegold is 1104864602. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Q: What is Gwen Guegold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Gwen Guegold was last updated on January 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 04, 2006

3360 HIGHWAY 411 N, ENGLEWOOD, TN 37329(423) 887-5131(423) 887-5917 Get Directions Write a Review

NPPES record last updated: January 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gwen A Guegold F.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWEN A GUEGOLD F.N.P. (NPI 1104864602) is an individual family provider in Englewood, Tennessee, licensed in Tennessee (APN5518) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104864602

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGWEN A GUEGOLDCredential: F.N.P.

Location Address3360 HIGHWAY 411 NEnglewood, TN 37329-5276

Mailing Address6350 W Andrew Johnson Hwy, Department 100Talbott, TN 37877-8605 · (800) 355-3565 · Fax (423) 714-2355

Phone(423) 887-5131

Fax(423) 887-5917

Sole ProprietorNo

Enumeration DateJune 4, 2006

Last NPPES UpdateJanuary 10, 2014

✔ NPI 1104864602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · APN5518

Also ListedRegistered NurseTaxonomy 163W00000X · License RN49800 (TN)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5518 (TN)

3360 HIGHWAY 411 N, Englewood, TN 37329

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Other Identifiers 4

Medicare UPINS43538TN

Other3072348TN · Blue Cross Blue Shield #

Medicaid3344283TN

Medicare PIN3344283TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARYEVA ELLA MARTIN LMSW

Social Worker