Healthcare Provider Details

I. General information

NPI: 1245108240
Provider Name (Legal Business Name): KARA LYNN GAUT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 WESTWOOD DR
AMARILLO TX
79124-1213
US

IV. Provider business mailing address

6200 WESTWOOD DR
AMARILLO TX
79124-1213
US

V. Phone/Fax

Practice location:
  • Phone: 806-570-5084
  • Fax:
Mailing address:
  • Phone: 806-570-5084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number608508
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number608508
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number608508
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number608508
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: