GINA LEE QUIJANO (NPI# 1235326901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235326901 |
| Entity Type | Individual |
| Full Name | GINA LEE QUIJANO |
| Other Name | GINA LEE LATHEY |
| Credential | APRN FNP-BC |
| Practice Address |
300 Corporate Center Drive Scott Depot WV 25560 |
| Mailing Address |
506 Chestnut St South Charleston WV 25309-1204 |
| Practice Telephone | 3046916800 |
| Mailing Telephone | 3047668558 |
| Mailing Fax Number | 3047668561 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
36764 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 506 Chestnut St, South Charleston, WV 253091204 | 3047668558 | 3047668561 |
| Street Address |
300 CORPORATE CENTER DRIVE |
| City | SCOTT DEPOT |
| State | WV |
| Zip Code | 25560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255317640 | Christopher Andrew Kennedy | Physician Assistant | 300 Corporate Center Drive, Scott Depot, WV 25560 | 2005-12-19 |
| 1265726681 | Susanna A. Kapourales | Pediatrics | 300 Corporate Center Drive, Scott Depot, WV 25560 | 2011-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891297248 | Nutrisense Nutrition Consulting, LLC | Dietitian, Registered | 18 Meadow Lane, Scott Depot, WV 25560 | 2018-03-01 |
| 1508224916 | Stephanie Leigh Bowman | Nurse Practitioner | 95 Heidi Way, Scott Depot, WV 25560 | 2016-02-01 |
| 1457798266 | Jodi H Biller | Nurse Practitioner | 300 Corporate Center Dr., Scott Depot, WV 25560 | 2013-06-03 |
| 1730427469 | Teays Valley Volunteer Fire Department, Inc | Ambulance | 105 Popular Fork Rd, Scott Depot, WV 25560 | 2013-01-31 |
| 1073862991 | Scott A Cyrus | Pharmacist | 201 Teays Ctr Kroger 02900784, Scott Depot, WV 25560 | 2012-09-06 |
| 1578625596 | Harold Alan Morris | Dentist | Carls Lane, Scott Depot, WV 25560 | 2006-12-15 |
| 1457427429 | Martha Cook Carter | Registered Nurse | 301 6 Great Teays Blvd, Scott Depot, WV 25560 | 2006-11-28 |
| 1649360827 | Jan Byrnside Frame | Registered Nurse | 21 Thoroughbred Rd, Scott Depot, WV 25560 | 2006-10-16 |
| 1639271836 | Laberta S Salamacha | Counselor | 4031 Teays Valley Road, Scott Depot, WV 25560 | 2006-09-01 |
| 1588683767 | Kim D Lopes | Advanced Practice Midwife | 3016 Great Teays Blvd, Scott Depot, WV 25560 | 2006-07-19 |
| Find all providers in zip 25560 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992285902 | Megan Slack | Nurse Practitioner | 159 Leslie Pl, Scott Depot, WV 25560-8901 | 2018-08-19 |
| 1508224916 | Stephanie Leigh Bowman | Nurse Practitioner | 95 Heidi Way, Scott Depot, WV 25560 | 2016-02-01 |
| 1457798266 | Jodi H Biller | Nurse Practitioner | 300 Corporate Center Dr., Scott Depot, WV 25560 | 2013-06-03 |
| 1235415217 | Lydia Smith | Nurse Practitioner | 112 Quarterhorse Dr, Scott Depot, WV 25560-9684 | 2011-10-22 |
| 1831640556 | Michelle D Stewart | Nurse Practitioner | 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816 | 2016-10-18 |
| 1184179095 | Jessica Allen | Nurse Practitioner | 111 Great Teays Blvd, Scott Depot, WV 25560 | 2016-08-20 |
| 1780067611 | Kara A. Cipriani | Nurse Practitioner | 300 Corporate Center Dr., Scott Depot, WV 25560 | 2015-07-09 |
| 1134529415 | Annette Gaskins | Nurse Practitioner | 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560-9815 | 2014-08-24 |
| 1114150398 | Dawn Lynn Grigsby | Nurse Practitioner | 97 Great Teays Blvd, Ste 6, Scott Depot, WV 25560-9815 | 2009-09-03 |
| 1962565192 | Jerri L Wood | Nurse Practitioner | 301 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9552 | 2006-12-19 |
| Find all providers in SCOTT DEPOT | ||||
| City | SCOTT DEPOT |
| Zip Code | 25560 |
Please comment or provide details below to improve the information on GINA LEE QUIJANO.
| 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.