DR. GAYLE PEGLER VARNELL (NPI# 1164406773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164406773 |
| Entity Type | Individual |
| Full Name | DR. GAYLE PEGLER VARNELL |
| Credential | PHD, RN, PNP |
| Practice Address |
3900 University Blvd Tyler TX 75799-0001 |
| Mailing Address |
19970 Holly Hills Dr Larue TX 75770-6306 |
| Practice Telephone | 9035667035 |
| Mailing Telephone | 9038492329 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2011-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 225095 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
225095 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149252202 | 05 |
| Street Address |
3900 UNIVERSITY BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75799-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020501 | Kacy Combest | Counselor | 3900 University Blvd, Tyler, TX 75799-6600 | 2020-07-21 |
| 1457991697 | Cody Bryan Oliver | Physical Medicine & Rehabilitation | 3900 University Blvd, Tyler, TX 75799-6600 | 2020-01-15 |
| 1538644091 | Amanda Gwin Goudelock | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75799-6600 | 2018-10-01 |
| 1326523994 | Naina Kishore | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75799-6600 | 2018-09-30 |
| 1891270922 | Molly Laine Butcher | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75701-6601 | 2018-09-25 |
| 1679058747 | Nathaniel Llave | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75799-6600 | 2018-09-25 |
| 1457836595 | Splenderah Seyram Hodo | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75799-6600 | 2018-09-25 |
| 1447735584 | Ryan Francis | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75799-6600 | 2018-09-25 |
| 1548744626 | Fei Zhao | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75799-6600 | 2018-09-24 |
| 1922582097 | Lindsey Nicole Spears | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75799-6600 | 2018-09-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659855476 | Victoria Ezeh | Student in an Organized Health Care Education/Training Program | 3900 University Blvd # 128, Tyler, TX 75799-6600 | 2018-09-18 |
| 1619451069 | Delight Onyejegbu | Student in an Organized Health Care Education/Training Program | 3900 University Blvd # 128, Tyler, TX 75799-6600 | 2018-09-21 |
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114914132 | Holly Walker Patterson | Nurse Practitioner | 706 Turtle Creek Dr, Tyler, TX 75701-1833 | 2005-10-04 |
| 1346739778 | Rita Ekpen Ozomah | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2018-05-01 |
| 1548663784 | Lamesa Bell | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2014-10-02 |
| 1316268931 | Julie Ann Aucar | Nurse Practitioner | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2010-06-17 |
| 1952439432 | Tamara Jones | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2007-02-28 |
| 1336200682 | Shana Kay Caldwell | Nurse Practitioner | 305 W Rusk St, Tyler, TX 75701-1514 | 2006-12-12 |
| 1538241419 | Patricia D Drago | Nurse Practitioner | 2990 N Broadway Ave, Tyler, TX 75702-2149 | 2006-10-19 |
| 1255413134 | Brenda Morgan-webber | Nurse Practitioner | 214 E Houston St, Tyler, TX 75702-8131 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
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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.