BRYAN LEON GIMMESON (NPI# 1609201532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609201532 |
| Entity Type | Individual |
| Full Name | BRYAN LEON GIMMESON |
| Credential | LPC |
| Practice Address |
236 Radar Rd Cottonwood ID 83522-5165 |
| Mailing Address |
1902 Lewiston St Cottonwood ID 83522-5071 |
| Practice Telephone | 2089623276 |
| Mailing Telephone | 2089627217 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-3905 | ID | Behavioral Health & Social Service Providers |
| Street Address |
236 RADAR RD |
| City | COTTONWOOD |
| State | ID |
| Zip Code | 83522-5165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689084659 | Denise Marie Nuxoll | Pharmacist | 429 Main, Cottonwood, ID 83522 | 2014-04-30 |
| 1376711416 | Sherry Lynn Riener | Midwife | 502 King Street, Cottonwood, ID 83522 | 2008-02-12 |
| 1629114905 | Cottonwood Jt Sch Dist | Local Education Agency (LEA) | 907 Lewiston Street, Cottonwood, ID 83522 | 2007-01-30 |
| 1902980121 | Arnzen Super Drug, Inc. | Pharmacy | 429 Main Street, Cottonwood, ID 83522 | 2006-10-24 |
| 1629047931 | John Douglas Trueblood | Physician Assistant | 701 Lewiston Street, Cottonwood, ID 83522 | 2006-03-17 |
| 1124442421 | Carletta Jean Allen | Speech-Language Pathologist | 701 Lewiston Street, Cottonwood, ID 83522 | 2014-02-07 |
| 1376965319 | Jamie Scheffler | Physical Therapist | 701 Lewiston Street, Cottonwood, ID 83522 | 2014-01-10 |
| 1639482888 | Scarlett Jo Uhlenkott | Nurse Practitioner | 701 Lewiston Street, Cottonwood, ID 83522 | 2010-07-16 |
| 1992994024 | St. Mary's Hospital Pharmacy | Pharmacy | 701 Lewiston St, Cottonwood, ID 83522 | 2007-10-15 |
| 1245433739 | St. Mary's Hospital | Nurse Anesthetist, Certified Registered | 701 Lewiston St, Cottonwood, ID 83522 | 2007-06-11 |
| Find all providers in zip 83522 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902168123 | Peak Solutions Counseling | Counselor | 849 Cove Pkwy, Cottonwood, AZ 86326-4682 | 2012-06-13 |
| 1528009651 | Robert Scott Roderick | Counselor | 1756 E Villa Dr Ste C1, Cottonwood, AZ 86326-4741 | 2006-06-09 |
| 1730677246 | Patrick Michael Dotson | Counselor | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2018-04-30 |
| 1427558634 | Karen Marzullo | Counselor | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2018-02-14 |
| 1346599123 | Janet Elizabeth Shannon | Counselor | 8 E Cottonwood St, Cottonwood, AZ 86326-6237 | 2012-09-07 |
| 1801104336 | Michael King | Counselor | 657 E Cottonwood St, Suite 5c, Cottonwood, AZ 86326-4407 | 2010-09-17 |
| 1770810418 | David Brian Brady | Counselor | 8 E Cottonwood St, Cottonwood, AZ 86326-6237 | 2009-11-17 |
| 1326297540 | Stephanie C Barrow | Counselor | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2008-09-11 |
| 1003948845 | Bernadette Jamie Rundhaug | Counselor | 701 Lewiston St, Cottonwood, ID 83522 | 2007-03-09 |
| 1932116084 | Benny Frank Taylor | Counselor | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2006-08-02 |
| Find all providers in COTTONWOOD | ||||
| City | COTTONWOOD |
| Zip Code | 83522 |
Please comment or provide details below to improve the information on BRYAN LEON GIMMESON.
| 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.