AMANDA GIBBONS (NPI# 1235546490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235546490 |
| Entity Type | Individual |
| Full Name | AMANDA GIBBONS |
| Practice Address |
92 Main St Cassville MO 65625-1610 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4178475225 |
| Practice Fax Number | 4178475425 |
| Mailing Telephone | 4178202000 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2014023482 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675943 | Amanda Gibbons | Speech-Language Pathologist | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2018-07-11 |
| 1235510926 | Amanda Gibbons | Counselor | 102 Elizabeth St, Suite C, Jacksonville, NC 28540-5676 | 2015-06-18 |
| 1154611259 | Amanda R. Gibbons | Social Worker | 2001 Blue Heron Blvd W, Riviera Beach, FL 33404-5003 | 2011-04-11 |
| 1952602369 | Amanda L Gibbons | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2010-11-16 |
| Street Address |
92 MAIN ST |
| City | CASSVILLE |
| State | MO |
| Zip Code | 65625-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770040222 | Miricle Anderson | Nurse Practitioner | 92 Main St, Cassville, MO 65625-1610 | 2019-02-20 |
| 1073047957 | Mitchel Norton | Family Medicine | 92 Main St, Cassville, MO 65625-1610 | 2017-04-17 |
| 1558779710 | Joshua D. Merriman | Nurse Practitioner | 92 Main St, Cassville, MO 65625-1610 | 2014-07-31 |
| 1528307493 | Rita Logan Seger | Internal Medicine | 92 Main St, Cassville, MO 65625 | 2013-02-12 |
| 1497887848 | Mercy Clinic Springfield Communities | Family Medicine | 92 Main St, Cassville, MO 65625 | 2007-03-12 |
| 1255412417 | Connie Lynn Butler | Family Medicine | 92 Main St, Cassville, MO 65625-1610 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568877231 | Angela Conklin | Family Medicine | 75 Smithson Dr Ste A, Cassville, MO 65625 | 2014-06-21 |
| 1548394166 | Peach Wood Manor Rcf | Custodial Care Facility | Highway 12, Cassville, MO 65625 | 2007-03-15 |
| 1861534299 | John Carl Ruetschi | Dentist | Rt #1 Box 1714, Southwest Family Dentistry, Cassville, MO 65625 | 2007-02-13 |
| 1447353602 | Stephen Joseph Mebruer | Optometrist | 10340 Farm Rd. 2176, Cassville, MO 65625 | 2006-09-06 |
| 1205886769 | Ozark Tri County Health Care Consortium | Clinic/Center | 4016 N Main Street, Cassville, MO 65625 | 2006-05-12 |
| 1205806635 | Steven Kent Runnels | Chiropractor | 101-2 S. Main St., Cassville, MO 65625 | 2006-01-26 |
| 1437639036 | Regional Services | Nurse Practitioner | 1501 Main St, Cassville, MO 65625 | 2018-08-14 |
| 1710472444 | Kasey King | Nurse Practitioner | 94 Main St, Cassville, MO 65625 | 2018-06-26 |
| 1144554171 | Stephen J. Mebruer, O.d., L.L.C. | Optometrist | 10340 Farm Rd. 2176, Cassville, MO 65625 | 2009-09-23 |
| 1154535342 | Mercy Hospital Cassville | General Acute Care Hospital | 94 Main St, Cassville, MO 65625 | 2007-05-09 |
| Find all providers in zip 65625 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881784635 | Julitta J. Shirley | Nurse Practitioner | 75 Smithson Dr., Ste. A, Cassville, MO 65625-9429 | 2006-10-13 |
| 1720015423 | Cheryl J. Dalton | Nurse Practitioner | 4016 Main St, Cassville, MO 65625-9753 | 2006-06-27 |
| 1285235937 | Laura Kay Barnett | Nurse Practitioner | 94 Main St, Cassville, MO 65625-1610 | 2020-11-07 |
| 1689201147 | Kortney Burton | Nurse Practitioner | 1101 N Main St, Cassville, MO 65625-1118 | 2020-03-25 |
| 1770040222 | Miricle Anderson | Nurse Practitioner | 92 Main St, Cassville, MO 65625-1610 | 2019-02-20 |
| 1437639036 | Regional Services | Nurse Practitioner | 1501 Main St, Cassville, MO 65625 | 2018-08-14 |
| 1710472444 | Kasey King | Nurse Practitioner | 94 Main St, Cassville, MO 65625 | 2018-06-26 |
| 1558779710 | Joshua D. Merriman | Nurse Practitioner | 92 Main St, Cassville, MO 65625-1610 | 2014-07-31 |
| 1952609224 | Cynthia A. Baker | Nurse Practitioner | 1 Medical Plz, Cassville, MO 65625-1602 | 2011-03-10 |
| 1356417810 | Pamela J Whitlock | Nurse Practitioner | 4016 Main St, Cassville, MO 65625-9753 | 2006-11-27 |
| Find all providers in CASSVILLE | ||||
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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.