Healthcare Provider Details

I. General information

NPI: 1003408774
Provider Name (Legal Business Name): CAROLINE GARRISON GATSCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAROLINE GARRISON HECK-SCHLEAPPI CD(DONA)

II. Dates (important events)

Enumeration Date: 02/04/2021
Last Update Date: 02/04/2021
Certification Date: 02/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3657 KILKENNY DR
COLUMBUS OH
43221-4444
US

IV. Provider business mailing address

3657 KILKENNY DR
COLUMBUS OH
43221-4444
US

V. Phone/Fax

Practice location:
  • Phone: 614-620-2676
  • Fax:
Mailing address:
  • Phone: 614-620-2676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: