CORENA R GIBSON (NPI# 1578546495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578546495 |
| Entity Type | Individual |
| Full Name | CORENA R GIBSON |
| Credential | APRN |
| Practice Address |
69 S Main St Whitley City KY 42653-6043 |
| Mailing Address |
Po Box 1080 Burkesville KY 42717-1080 |
| Practice Telephone | 6063767399 |
| Practice Fax Number | 6063767396 |
| Mailing Telephone | 2708641472 |
| Mailing Fax Number | 2708641472 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2014-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN6725 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3003843 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78009065 | 05 |
| Street Address |
69 S MAIN ST |
| City | WHITLEY CITY |
| State | KY |
| Zip Code | 42653-6043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324566 | Danielle E Powell | Nurse Practitioner | 69 S Main St, Whitley City, KY 42653-6043 | 2019-09-04 |
| 1922359439 | Kristina E Morrow | Social Worker | 69 S Main St, Whitley City, KY 42653-6043 | 2012-09-24 |
| 1881617728 | Cassie A Floyd Tyner | Family Medicine | 69 S Main St, Whitley City, KY 42653-6043 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
| 1912423435 | Eric Shannon Polston | Pharmacist | 43 Medical Lane, Whitley City, KY 42653 | 2017-08-16 |
| 1588187884 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 500 N Hwy 27, Whitley City, KY 42653 | 2017-07-19 |
| 1912324609 | Dustin Hamlin | Nurse Practitioner | 1570 N. Us 27, Whitley City, KY 42653 | 2014-03-20 |
| 1548529159 | Amy Mlynn Strunk | Developmental Therapist | 10 Tobby Lane, Whitley City, KY 42653 | 2012-05-16 |
| 1275810616 | Wcps LLC | Durable Medical Equipment & Medical Supplies | 66 Center Ave, Whitley City, KY 42653 | 2011-11-14 |
| 1083905152 | Johnny Lynn Cowell | Pharmacist | 500 North Hwy 27, Whitley City, KY 42653 | 2011-04-25 |
| 1073802146 | Yhp2 LLC | Pharmacist | 1187 North Highway 27, Whitley City, KY 42653 | 2011-03-29 |
| 1760701635 | South Creek Eye Center Psc | Ophthalmology | 551 N Hwy. 27, Whitley City, KY 42653 | 2010-05-18 |
| 1134452014 | Quest Community Services, Inc | Case Management | 2901 North Hwy 1651, Whitley City, KY 42653 | 2009-09-10 |
| Find all providers in zip 42653 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912324609 | Dustin Hamlin | Nurse Practitioner | 1570 N. Us 27, Whitley City, KY 42653 | 2014-03-20 |
| 1164492732 | Betty A Stanley | Nurse Practitioner | 65 Center Ave, Whitley City, KY 42653-4380 | 2006-01-25 |
| 1699324566 | Danielle E Powell | Nurse Practitioner | 69 S Main St, Whitley City, KY 42653-6043 | 2019-09-04 |
| 1629561493 | Patrick Gorman Shepherd | Nurse Practitioner | 65 Center Ave, Whitley City, KY 42653 | 2018-06-07 |
| 1912403007 | Stephanie Mae Sumner | Nurse Practitioner | 65 Center Ave, Whitley City, KY 42653-4380 | 2018-04-05 |
| 1104331016 | Emily Ruthanne Ross | Nurse Practitioner | 71 Medical Ln, Whitley City, KY 42653-4216 | 2017-12-14 |
| 1720458771 | Kimberly Margarett Brumley | Nurse Practitioner | 65 Center Ave, Whitley City, KY 42653-4380 | 2015-10-02 |
| 1659511103 | Thuresa S. Cash | Nurse Practitioner | 19 Medical Loop, Suite #3, Whitley City, KY 42653-4216 | 2009-02-24 |
| 1750426888 | Ruby Carol Duncan | Nurse Practitioner | 65 Center Ave, Whitley City, KY 42653-4380 | 2007-02-20 |
| 1023153152 | Kathryn Susan Jasper | Nurse Practitioner | 19 Medical Loop, Suite 3, Whitley City, KY 42653 | 2007-02-20 |
| Find all providers in WHITLEY CITY | ||||
| City | WHITLEY CITY |
| Zip Code | 42653 |
Please comment or provide details below to improve the information on CORENA R GIBSON.
| 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.