MS. DENISE W GOSSETT (NPI# 1093990517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093990517 |
| Entity Type | Individual |
| Full Name | MS. DENISE W GOSSETT |
| Other Name | MS. SUSAN DENISE GOSSETT |
| Credential | FNP |
| Practice Address |
301 E 4th St Villisca IA 50864-1146 |
| Mailing Address |
Po Box 498 Red Oak IA 51566-0498 |
| Practice Telephone | 7128264422 |
| Practice Fax Number | 7128262052 |
| Mailing Telephone | 7126237000 |
| Mailing Fax Number | 7128262052 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
A129234 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
R687235 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | IOWA BOARD OF NURSING LICENSE, REGISTERED NURSE | 129234 | 01 |
| CONTROLLED SUBSTANCES REGISTRATION CERTIFICATE | MG2489587 | 01 |
| Street Address |
301 E 4TH ST |
| City | VILLISCA |
| State | IA |
| Zip Code | 50864-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790758092 | Montgomery County Memorial Hospital | Nurse Practitioner | 301 E 4th St, Villisca, IA 50864-1146 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062867 | Courtney Renee Myers | Massage Therapist | 113 N 3rd Ave, Villisca, IA 50864-1018 | 2019-09-13 |
| 1720078231 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 202 Central Ave, Villisca, IA 50864-1025 | 2005-10-26 |
| 1417357195 | Jacob Eblen | Specialist/Technologist | 127 W High St, Villisca, IA 50864-1040 | 2014-08-29 |
| 1285781054 | Villisca Community Schools | Local Education Agency (LEA) | 406 E 3rd St, Villisca, IA 50864-1137 | 2007-01-04 |
| 1255376554 | City of Villisca | Ambulance | 207 S 3rd Ave, Villisca, IA 50864-1142 | 2006-06-19 |
| 1477592343 | Clarinda Regional Health Center | Clinic/Center | 309 S 5th Ave, Villisca, IA 50864-1160 | 2006-06-06 |
| 1538288352 | Villisca Family Health Center | Clinic/Center | 309 S 5th Ave, Villisca, IA 50864-1160 | 2007-03-29 |
| 1013083773 | Honeyman Drug Stoner Drug Co Inc | Durable Medical Equipment & Medical Supplies | 408 S 3rd Ave, Villisca, IA 50864-1213 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062867 | Courtney Renee Myers | Massage Therapist | 113 N 3rd Ave, Villisca, IA 50864-1018 | 2019-09-13 |
| 1417357195 | Jacob Eblen | Specialist/Technologist | 127 W High St, Villisca, IA 50864-1040 | 2014-08-29 |
| 1285781054 | Villisca Community Schools | Local Education Agency (LEA) | 406 E 3rd St, Villisca, IA 50864-1137 | 2007-01-04 |
| 1013083773 | Honeyman Drug Stoner Drug Co Inc | Durable Medical Equipment & Medical Supplies | 408 S 3rd Ave, Villisca, IA 50864-1213 | 2006-11-27 |
| 1255376554 | City of Villisca | Ambulance | 207 S 3rd Ave, Villisca, IA 50864-1142 | 2006-06-19 |
| 1477592343 | Clarinda Regional Health Center | Clinic/Center | 309 S 5th Ave, Villisca, IA 50864-1160 | 2006-06-06 |
| 1720078231 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 202 Central Ave, Villisca, IA 50864-1025 | 2005-10-26 |
| 1538288352 | Villisca Family Health Center | Clinic/Center | 309 S 5th Ave, Villisca, IA 50864-1160 | 2007-03-29 |
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407258130 | Lois Pirozek | Clinical Nurse Specialist | 1404 34th St., Sioux City, IA 51104-1404 | 2014-09-25 |
| 1932581881 | Mary Ellen Deutmeyer | Clinical Nurse Specialist | 945 Tower Park Dr, Waterloo, IA 50701-9098 | 2015-06-26 |
| 1437449758 | Lisa Mae Jones | Clinical Nurse Specialist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2011-04-08 |
| 1356505176 | Pamela A. Terrill | Clinical Nurse Specialist | 200 Hawkins Dr, Int Med; Sw34 Gh, Iowa City, IA 52242-1009 | 2008-07-10 |
| 1215125216 | Rebecca E Walding | Clinical Nurse Specialist | 3549 Southern Hills Dr, Sioux City, IA 51106-4736 | 2007-10-04 |
Please comment or provide details below to improve the information on MS. DENISE W GOSSETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.