GWENDOLYN UPSHAW
NPI 1952952798
Licensed Practical Nurse in East Chicago, IN
- Individual
- Female
- Licensed Practical Nurse
About GWENDOLYN UPSHAW
This page provides the complete NPI Profile along with additional information for Gwendolyn Upshaw, a provider established in East Chicago, Indiana with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1952952798 assigned on September 2019. The practitioner's primary taxonomy code is 164W00000X with license number 145673 (OH). The provider is registered as an individual and her NPI record was last updated April 2026.
- NPI
- 1952952798 Verify this NPI
- Provider Name
- GWENDOLYN UPSHAW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4123 GRACE ST EAST CHICAGO, IN 46312
- Location Phone
- (937) 974-6277
- Mailing Address
- 4123 GRACE ST EAST CHICAGO, IN 46312
- Mailing Phone
- (937) 974-6277
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-23-2019
- Last Update Date
- 04-03-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 145673
- License State
- OH
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952952798, enumerated as an "individual" on September 23, 2019.
The provider is located at 4123 GRACE ST EAST CHICAGO, IN 46312 and the phone number is (937) 974-6277.
Licensed Practical Nurse with taxonomy code 164W00000X.
