TONI SHANTEL GORDON-BAILEY


Address: 615 Old Symsonia Rd, Benton, KY 42025-5042
Phone: 2705274800

TONI SHANTEL GORDON-BAILEY (NPI# 1568091270) 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) 1568091270
Entity Type Individual
Full Name TONI SHANTEL GORDON-BAILEY
Credential APRN
Practice Address 615 Old Symsonia Rd
Benton
KY 42025-5042
Mailing Address Po Box 9150
Paducah
KY 42002-9150
Practice Telephone 2705274800
Practice Fax Number 2705274910
Mailing Telephone 2707449600
Mailing Fax Number 2707448642
Enumeration Date 2020-04-04
Last Update Date 2020-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 3014546 KY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 615 OLD SYMSONIA RD
City BENTON
State KY
Zip Code 42025-5042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801896196 Anthony David Starkey Chiropractor 615 Old Symsonia Rd, Benton, KY 42025-5042 2005-07-28
1447713623 Meredith A Crider Nurse Practitioner 615 Old Symsonia Rd, Benton, KY 42025-5042 2019-04-13
1194145714 Marshall County Mri, LLC Clinic/Center 615 Old Symsonia Rd, Benton, KY 42025-5042 2014-04-22
1619275401 Marshall County Anesthesia Pllc Nurse Anesthetist, Certified Registered 615 Old Symsonia Rd, Benton, KY 42025-5042 2011-03-03
1902101124 Md Partners, Pllc Nurse Practitioner 615 Old Symsonia Rd, Benton, KY 42025-5042 2011-01-19
1952530230 Marshall County Anesthesia Nurse Anesthetist, Certified Registered 615 Old Symsonia Rd, Benton, KY 42025-5042 2009-07-08
1790840056 Marshall County Hospital District Medicare Defined Swing Bed Unit 615 Old Symsonia Rd, Benton, KY 42025-5042 2006-12-27
1568528594 Marshall County Hospital District General Acute Care Hospital 615 Old Symsonia Rd, Benton, KY 42025-5042 2006-12-27
1922190412 Bruce S David Nurse Anesthetist, Certified Registered 615 Old Symsonia Rd, Benton, KY 42025-5042 2006-09-29
1003921032 Marshall County Hosp District Pharmacy 615 Old Symsonia Rd, Benton, KY 42025-5042 2006-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073862843 Elisha Dougherty Pharmacist 1004 Big Bear Hwy, Benton, KY 42025 2012-09-07
1730310285 Benton Chiropractic, Pllc Chiropractor 141 Commerce Blvd, Benton, KY 42025 2009-07-31
1689813594 Murray Calloway County Public Hospital Internal Medicine 543 Powell St, Benton, KY 42025 2009-02-17
1912159864 William J Barabas Physical Therapist 244 Us Hwy 68 East, Benton, KY 42025 2008-10-22
1447419031 Mary Jane Darnell Occupational Therapy Assistant 2607 Main Street, Benton, KY 42025 2008-06-09
1710176540 Karen Diane Reed Counselor 198 Old Symsonia Road, Suite 107, Benton, KY 42025 2007-10-17
1255475794 Community Alternatives Kentucky, Inc. Home Health 402 Caky Drive, Benton, KY 42025 2007-02-17
1477605988 Marshall County Medical Associates Family Medicine 145 Vine Street, Benton, KY 42025 2007-01-17
1376604256 Marshall County Assn. for Exceptional Children and Adults, Inc Day Training, Developmentally Disabled Services 198 Old Symsonia Road, Benton, KY 42025 2006-12-13
1023111929 Benton Health Care, LLC Nurse Practitioner 414 East 12th Street, Benton, KY 42025 2006-09-06
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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
1619574555 Brian Scott Burks Nurse Practitioner 4109 Hartford Hills Dr, Benton, AR 72019-2540 2020-10-05
1205315900 David Lamont Mccombs Nurse Practitioner 1696 Steel Bridge Rd, Benton, AR 72019-3875 2018-08-13
1750893889 Kent Edwards Nurse Practitioner 11488 Sugar Creek Rd, Benton, IL 62812-4315 2017-10-30
1427385376 Amber Nicole Thorne Nurse Practitioner 6468 State Highway 77, Benton, MO 63736-8237 2009-11-13
1467653014 Renee D Wilson Nurse Practitioner 825 Graham Rd, Benton, AR 72015-8975 2007-05-30
1457450827 Lori D Mcbride Nurse Practitioner 1000 Highway 35 N Ste 8, Benton, AR 72019-2353 2006-09-22
1073547717 Debbie Lynn Holman Nurse Practitioner 1403 N Main St, Benton, IL 62812-1918 2006-07-10
1912549965 Brooke Hudson Nurse Practitioner 201 Bailey Ln, Benton, IL 62812-1999 2019-10-10
1497288492 Diana Tomlianovich Nurse Practitioner 203 Bailey Ln, Suite 1, Benton, IL 62812-2266 2017-04-06
1528412095 Ann Smith Depoe Nurse Practitioner 4469 Red Rock Rd, Benton, PA 17814-7606 2016-04-20
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Competitor

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City BENTON
Zip Code 42025

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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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