GINA HEBERLIE


Address: 508 W Pine St, Farmington, MO 63640-1426
Phone: 5737471510

GINA HEBERLIE (NPI# 1316053028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316053028
Entity Type Individual
Full Name GINA HEBERLIE
Credential NP
Practice Address 508 W Pine St
Farmington
MO 63640-1426
Practice Telephone 5737471510
Practice Fax Number 5737471512
Mailing Telephone 5737471510
Mailing Fax Number 5737471512
Enumeration Date 2006-08-23
Last Update Date 2010-03-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 139404 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 429193402 05

Office Location

Street Address 508 W PINE ST
City FARMINGTON
State MO
Zip Code 63640-1426

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568088045 Tanner Lorenz Dentist 508 W Pine St, Farmington, MO 63640-1426 2020-06-22
1568860641 Parkcrest Orthopedics LLC Orthopaedic Surgery 508 W Pine St, Farmington, MO 63640-1426 2014-12-05
1922446384 Great Mines Health Center Clinic/Center 508 W Pine St, Farmington, MO 63640-1426 2013-06-07
1760754386 Midwest Health Group, LLC Non-Pharmacy Dispensing Site 508 W Pine St, Farmington, MO 63640-1426 2012-01-27
1356629430 Christine A Herrington Nurse Practitioner 508 W Pine St, Farmington, MO 63640-1426 2011-07-24
1841584737 Charles Justus Elkington Dentist 508 W Pine St, Farmington, MO 63640-1426 2011-06-08
1992884183 Diane Marie Radosevich Nurse Practitioner 508 W Pine St, Farmington, MO 63640-1426 2006-11-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316545254 Brenda S Halton Nurse Practitioner 1010 West Columbia Street, Farmington, MO 63640 2020-10-13
1619519089 Stacey Nicole Gillette Counselor 17885 Hart Pinkston Rd, Farmington, MO 63640 2019-10-17
1346890696 Christopher Ryan Massey Social Worker 607 Pine St., Farmington, MO 63640 2019-09-18
1457909376 Clarice Ogden Social Worker 203 South Washington Street, Farmington, MO 63640 2019-09-04
1861979718 Clint Thebeau In Home Supportive Care 1276 W Liberty St, Farmington, MO 63640 2018-07-24
1023500600 Lynn Machelle Knox Counselor 219 W Columbia St, Farmington, MO 63640 2018-05-31
1235620576 Kim Bazzell Registered Nurse 1565 Ste. Genevieve Ave., Farmington, MO 63640 2018-05-22
1164919742 Lincare Inc. Durable Medical Equipment & Medical Supplies 774 Market St, Farmington, MO 63640 2018-04-18
1184127813 Michelle Lynette Corvallis Chiropractor 17 South Franklin St., Farmington, MO 63640 2018-03-08
1992206213 Farmington Vision Care LLC Optometrist 110 E Harrison St, Farmington, MO 63640 2018-02-22
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699252270 Holly Welch Nurse Practitioner 2300 E 30th St Ste B-106, Farmington, NM 87401-8991 2018-07-26
1093291213 Brittany Bigham Nurse Practitioner 1001 W Broadway Ste E, Farmington, NM 87401 2018-07-11
1861915282 Jesmi K Stanislavose Nurse Practitioner 18 Two Mile Rd, Farmington, CT 06032-2513 2017-07-18
1801265731 Loc Nguyen Nurse Practitioner 316 Nh-11, Farmington, NH 03835 2015-09-22
1922256775 Candy Sue Johnson Nurse Practitioner 158 E Fulton St, Farmington, IL 61531-1227 2008-09-05
1821106345 Nancy J Crouse Nurse Practitioner 601 E Fort St, Farmington, IL 61531-1338 2006-08-25
1548257090 Peter A Ford Nurse Practitioner 11 South Rd Ste 130, Farmington, CT 06032-2483 2005-09-30
1700483930 Sarah Jane Gadd Nurse Practitioner 991 Shepard Ln Ste 200, Farmington, UT 84025-2974 2020-10-01
1578183968 Robert Bradley Nurse Practitioner 525 S Schwartz Ave, Farmington, NM 87401-5955 2020-04-26
1225661556 Jesse Alexander Keele Nurse Practitioner 2930 E Main St, Farmington, NM 87402-7624 2020-02-14
Find all providers in FARMINGTON

Competitor

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City FARMINGTON
Zip Code 63640

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Dataset Information

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.

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