MRS. GWYNETH LEIGH HOLDERBY (NPI# 1124447305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124447305 |
| Entity Type | Individual |
| Full Name | MRS. GWYNETH LEIGH HOLDERBY |
| Credential | DNP |
| Practice Address |
800 Share Dr Alva OK 73717-3618 |
| Mailing Address |
Rr 1 Box 354 Byron OK 73722-9507 |
| Practice Telephone | 5803272800 |
| Mailing Telephone | 4058804714 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
96130 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 SHARE DR |
| City | ALVA |
| State | OK |
| Zip Code | 73717-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568475275 | James Robert Colvert Jr. | Internal Medicine | 800 Share Dr, Alva, OK 73717-3618 | 2006-08-14 |
| 1013574789 | Jeremy D Logsdon | Nurse Practitioner | 800 Share Dr, Alva, OK 73717-3618 | 2019-05-28 |
| 1538675624 | Erin Paige Kruckenberg | Family Medicine | 800 Share Dr, Alva, OK 73717 | 2017-12-27 |
| 1801293790 | Darlene Reynolds | Occupational Therapy Assistant | 800 Share Dr, Alva, OK 73717-3618 | 2014-11-20 |
| 1164737458 | Kasey L Swayden | Physician Assistant | 800 Share Dr, Alva, OK 73717-3618 | 2010-08-11 |
| 1144534603 | Alva Hospital Authority | Psychologist | 800 Share Dr, Alva, OK 73717-3618 | 2010-07-27 |
| 1669704243 | Share Medical Center | Durable Medical Equipment & Medical Supplies | 800 Share Dr, Alva, OK 73717-3618 | 2010-02-05 |
| 1023130689 | Bryan Nutter | Nurse Practitioner | 800 Share Dr, Alva, OK 73717-3618 | 2007-04-04 |
| 1679684682 | Alva Hospital Authority | Medicare Defined Swing Bed Unit | 800 Share Dr, Alva, OK 73717-3618 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912382441 | Callie Mosburg | Optometrist | 921 Oklahoma Blvd Ste A, Alva, OK 73717 | 2015-07-27 |
| 1912238924 | Molly Mae Thompson | Counselor | 510 5th St., Alva, OK 73717 | 2010-01-15 |
| 1023214939 | Michelle Baird | Counselor | 429 Barnes Street, Alva, OK 73717 | 2007-06-26 |
| 1619171253 | Stacie Nixon | Counselor | 429 Barnes St, Alva, OK 73717 | 2007-06-14 |
| 1235351552 | Northwest Domestic Crisis Services, Inc. | Community/Behavioral Health | 1330 Oklahoma Blvd., Alva, OK 73717 | 2007-05-03 |
| 1093849440 | North Oklahoma County Mental Health Center | Counselor | 429 Barnes, Alva, OK 73717 | 2007-03-16 |
| 1437222734 | State of Oklahoma | Community/Behavioral Health | 604 Choctaw, Northwest Center for Behavioral Health, Alva, OK 73717 | 2006-11-16 |
| 1396835013 | Holder-southern Drug Company Inc | Pharmacy | 513 Barnes Ave, Alva, OK 73717 | 2006-10-13 |
| 1407968621 | Brent Michael Bogdanovecz | Chiropractor | 317 College Ave, Alva, OK 73717 | 2006-09-01 |
| 1225341803 | Michael Duane Elsey | Counselor | 510 5th St., Alva, OK 73717 | 2010-07-23 |
| Find all providers in zip 73717 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574789 | Jeremy D Logsdon | Nurse Practitioner | 800 Share Dr, Alva, OK 73717-3618 | 2019-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306708 | Paula Sue Brown | Nurse Practitioner | 1020 N Lawson Blvd, Clayton, OK 74536-0219 | 2020-11-06 |
| 1235730581 | Cynthia Nanett Smith | Nurse Practitioner | 3009 24th Ave Se, Norman, OK 73071-1731 | 2020-11-03 |
| 1942801246 | Preston Craig | Nurse Practitioner | 1114 Mockingbird Ln, Norman, OK 73071-4838 | 2020-11-03 |
| 1528668530 | William Zachary Mccormick | Nurse Practitioner | 9900 Ashley Pl, The Village, OK 73120-3608 | 2020-10-28 |
| 1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
| 1164021655 | Alana Christine Mckinney | Nurse Practitioner | 19400 Sw 44th St, El Reno, OK 73036-8191 | 2020-10-26 |
| 1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
| 1164021150 | Timber Laine Jackson | Nurse Practitioner | 1391 County Road 1215, Tuttle, OK 73089-3047 | 2020-10-20 |
| 1225637465 | Dakota Bell Morton | Nurse Practitioner | 208 W 35th St, Sand Springs, OK 74063-2832 | 2020-10-19 |
| 1942808746 | Shari E Stapleton | Nurse Practitioner | 324 Ceder Ln, Tuttle, OK 73089-8675 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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| 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.