GINA MASSEY (NPI# 1629354519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629354519 |
| Entity Type | Individual |
| Full Name | GINA MASSEY |
| Credential | APN |
| Practice Address |
403 E. 1st Street Katherine Shaw Bethea Hospital Dixon IL 61021 |
| Practice Telephone | 8152855629 |
| Practice Fax Number | 8152855634 |
| Mailing Telephone | (815) 285-5629 |
| Mailing Fax Number | 8152855634 |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2017-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209.009085 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209009085 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 209009085 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487164661 | Gina Jessica Massey | Social Worker | 750 S Jefferson Davis Pkwy Apt 227, New Orleans, LA 70119-7174 | 2017-10-02 |
| Street Address |
403 E. 1ST STREET KATHERINE SHAW BETHEA HOSPITAL |
| City | DIXON |
| State | IL |
| Zip Code | 61021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548294184 | Gail E Prendergast | Hospitalist | 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 | 2006-07-10 |
| 1891006276 | Marta M Vanstraten | Pathology | 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 | 2010-06-30 |
| 1518189083 | Philippa M Devenney | Internal Medicine | 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| 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 |
|---|---|---|---|---|
| 1578048377 | Taylor Carroll | Nurse Practitioner | 215 E 1st St Ste 212, Dixon, IL 61021-3175 | 2018-09-27 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1427035476 | Methodist Health, Inc. | Nurse Practitioner | 1355 State Hwy 41a S, Dixon, KY 42409 | 2005-12-29 |
| 1588270797 | Tiffany L Hummel | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2020-09-22 |
| 1184243370 | Deaconess Clinic, Inc | Nurse Practitioner | 1335 Us Highway 41a S, Dixon, KY 42409-9447 | 2020-04-09 |
| 1629553888 | Lauren Elizabeth Cecchetti | Nurse Practitioner | 1321 N Galena Ave, Dixon, IL 61021-1009 | 2018-10-03 |
| 1699207985 | Julie Wardell | Nurse Practitioner | 403 E 1st St, Dixon, IL 61021-3116 | 2017-03-28 |
| 1326411539 | Jacqueline D Keck | Nurse Practitioner | 841 N Galena Ave, Suite 200, Dixon, IL 61021-1568 | 2015-11-10 |
| 1649652249 | Owensboro Health Medical Group Inc | Nurse Practitioner | 1871 Us Highway 41a S, Dixon, KY 42409-9448 | 2015-06-19 |
| 1295908259 | Jill C Obrien | Nurse Practitioner | 102 S Hennepin Ave, Dixon, IL 61021-3013 | 2008-04-10 |
| Find all providers in DIXON | ||||
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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.