CARLY LYNN GUNNERSEN
NPI 1831712793
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Carly Gunnersen's NPI number?

The NPI number for Carly Gunnersen is 1831712793. It was assigned to this individual provider in the NPPES registry on May 26, 2020.

Q: What is Carly Gunnersen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Carly Gunnersen was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 26, 2020

2865 LOGAN AVE, SAN DIEGO, CA 92113(619) 232-4357 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2020, May 27, 2020 (2 updates tracked since 2020).

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About Carly Lynn Gunnersen NPPES

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

CARLY LYNN GUNNERSEN (NPI 1831712793) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1831712793

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCARLY LYNN GUNNERSEN

Location Address2865 LOGAN AVESan Diego, CA 92113-2411

Mailing Address2865 Logan AveSan Diego, CA 92113-2411 · (619) 232-4357

Phone(619) 232-4357

Sole ProprietorNo

Enumeration DateMay 26, 2020

Last NPPES UpdateJune 4, 20202 updates tracked since enumeration

NPPES CertifiedJune 4, 2020

✔ NPI 1831712793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

2865 LOGAN AVE, San Diego, CA 92113

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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.

DIONE TAYLOR

Counselor (Mental Health)