GINA HEBERLIE (NPI# 1316053028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 139404 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 429193402 | 05 |
Street Address |
508 W PINE ST |
City | FARMINGTON |
State | MO |
Zip Code | 63640-1426 |
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 |
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 |
Find all providers in zip 63640 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
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 |
City | FARMINGTON |
Zip Code | 63640 |
Please comment or provide details below to improve the information on GINA HEBERLIE.
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.