CHARLSIE GILLCOAT (NPI# 1629246574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629246574 |
| Entity Type | Individual |
| Full Name | CHARLSIE GILLCOAT |
| Other Name | CHARLSIE ELIZABETH FERGUSON |
| Credential | ACNP-BC |
| Practice Address |
1300 N 4th St Longview TX 75601-4717 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 9037572122 |
| Practice Fax Number | 9037579475 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722340813 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP116578 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 193683302 | 05 |
| Street Address |
1300 N 4TH ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412468 | Amy J Stacey | Physician Assistant | 1300 N 4th St, Longview, TX 75601-4717 | 2005-07-28 |
| 1215581905 | Christi Nichols Williams | Registered Nurse | 1300 N 4th St, Longview, TX 75601-4717 | 2019-07-30 |
| 1447534854 | Devin F Brecheen | Physician Assistant | 1300 N 4th St, Longview, TX 75601-4717 | 2011-10-04 |
| 1295050037 | Lijo John | Internal Medicine | 1300 N 4th St, Longview, TX 75601-4717 | 2010-04-05 |
| 1144554577 | Joseph Charles Hodges II | Radiology | 1300 N 4th St, Longview, TX 75601-4717 | 2009-10-02 |
| 1629269774 | Matei Paul Socoteanu | Internal Medicine | 1300 N 4th St, Longview, TX 75601-4717 | 2007-08-05 |
| 1841361318 | Eileen B Herbeck | Pharmacist | 1300 N 4th St, Longview, TX 75601-4717 | 2006-11-13 |
| 1235145558 | Monica Sue Ann White | Nurse Practitioner | 1300 N 4th St, Longview, TX 75601-4717 | 2006-07-31 |
| 1851334759 | Neeraj Roshanial Sharma | Internal Medicine | 1300 N 4th St, Longview, TX 75601-4717 | 2006-06-14 |
| 1821031253 | Lewis Alvin Duncan | Internal Medicine | 1300 N 4th St, Longview, TX 75601-4717 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326216227 | Elaine Cox | Nurse Practitioner | 803 Vandercook Way Lowr Columbia, Suite 2, Longview, WA 98632-4057 | 2008-02-13 |
| 1760091193 | Josslyn Hastie Morgan | Nurse Practitioner | 700 E Marshall Ave, Longview, TX 75601-5580 | 2020-07-31 |
| 1316574213 | Tera Hollins | Nurse Practitioner | 701 E Marshall Ave Ste 504, Longview, TX 75601-5544 | 2020-03-23 |
| 1306340690 | Brandon G Bryant | Nurse Practitioner | 703 E Marshall Ave Ste 5008, Longview, TX 75601-5557 | 2018-03-21 |
| 1184138901 | Chad Crossland | Nurse Practitioner | 709 Hollybrook Dr Ste 3400, Longview, TX 75605-2412 | 2017-12-01 |
| 1457861148 | James Lee | Nurse Practitioner | 1005 N Eastman Rd, Longview, TX 75601-4231 | 2017-10-06 |
| 1548632516 | Thomas Bell | Nurse Practitioner | 701 E Marshall Ave, Suite 504, Longview, TX 75601-5659 | 2015-10-29 |
| 1619221934 | Justin Steward | Nurse Practitioner | 2901 4th St, Longview, TX 75605-5128 | 2012-11-08 |
| 1942453477 | Annette Richmond Mcfarland | Nurse Practitioner | 709 Hollybrook Dr Ste 3400, Longview, TX 75605-2412 | 2008-10-28 |
| 1457501025 | William N Barker Jr. | Nurse Practitioner | 703 E Marshall Ave, Suite 5008, Longview, TX 75601-5500 | 2008-09-19 |
| Find all providers in LONGVIEW | ||||
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| 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.