GILDA MARK (NPI# 1700124617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700124617 |
| Entity Type | Individual |
| Full Name | GILDA MARK |
| Credential | APRN |
| Practice Address |
14 Great Plains Rd Arapahoe WY 82510 |
| Mailing Address |
Po Box 1310 Riverton WY 82501-0158 |
| Practice Telephone | 3078569281 |
| Mailing Telephone | 3078569281 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
28563.1212 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 105726000 | 05 |
| Street Address |
14 GREAT PLAINS RD |
| City | ARAPAHOE |
| State | WY |
| Zip Code | 82510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337549 | David James Langford | Optometrist | 14 Great Plains Rd, Arapahoe, WY 82510 | 2005-06-22 |
| 1306307962 | Yvonne Hope Lopez-bargeron | Nurse Practitioner | 14 Great Plains Rd, Arapahoe, WY 82510 | 2019-03-27 |
| 1912472630 | Alexa Callison-burch | Physician Assistant | 14 Great Plains Rd, Arapahoe, WY 82510 | 2018-10-09 |
| 1679029474 | Corina Teves | Spec/Tech, Pathology | 14 Great Plains Rd, Arapahoe, WY 82510 | 2016-08-31 |
| 1285006379 | Wind River Family & Community Health Care | Case Manager/Care Coordinator | 14 Great Plains Rd, Arapahoe, WY 82501-8250 | 2015-10-28 |
| 1689089161 | Cori Mcadams | Counselor | 14 Great Plains Rd, Arapahoe, WY 82501 | 2014-06-24 |
| 1164773750 | Angela Grace Denke | Pharmacist | 14 Great Plains Rd, Arapahoe, WY 82510 | 2012-09-24 |
| 1508187790 | Amy J Hatcher | Pediatrics | 14 Great Plains Rd, Arapahoe, WY 82510 | 2010-06-22 |
| 1750549895 | Freda Blackburn | Registered Nurse | 14 Great Plains Rd, Arapahoe, WY 82510 | 2008-05-27 |
| 1669643763 | Bernice Ann Miller | Registered Nurse | 14 Great Plains Rd, Arapahoe, WY 82510 | 2008-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396307955 | Destinee Autumn Jara | Community Health Worker | #24 Great Plains Rd., Arapahoe, WY 82510 | 2019-07-03 |
| 1376004663 | Wind River Family & Community Health Care | Clinic/Center | 10266 Hwy 789, Arapahoe, WY 82510 | 2019-03-28 |
| 1043747181 | Caroline Lamar Pihl | Family Medicine | 14 Great Plains Road Wind River Family & Community Heal, Arapahoe, WY 82510 | 2017-05-19 |
| 1427402239 | Emily Delorme | Community Health Worker | 24 Great Plains Road, Arapahoe, WY 82510 | 2016-04-18 |
| 1780038984 | Evelyn Jimenez | Case Manager/Care Coordinator | #24 Great Plains Road, Arapahoe, WY 82510 | 2016-04-14 |
| 1972965523 | Crystal P Brown | Case Manager/Care Coordinator | 24 Great Plains Rd, Arapahoe, WY 82510 | 2016-03-23 |
| 1902213093 | White Buffalo Recovery Center | Clinic/Center | #22 Great Plains Rd, Arapahoe, WY 82510 | 2014-07-21 |
| 1326454067 | Rachael Munoz | Counselor | 24 Great Plains Rd., Arapahoe, WY 82510 | 2014-07-02 |
| 1174938666 | Jane Dewey | Case Manager/Care Coordinator | 22 Great Plains Rd, Arapaho, WY 82510 | 2014-06-24 |
| 1477893253 | Mindy Rae Pomeroy | Spec/Tech, Pathology | 14 Great Plains Rd., Arapaho, WY 82510 | 2013-02-15 |
| Find all providers in zip 82510 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1932742210 | Timothy Joseph Barnes | Nurse Practitioner | 1617 Evans Ave Apt 1, Cheyenne, WY 82001-4698 | 2019-10-19 |
| 1639729056 | Sherra Stclair | Nurse Practitioner | 121 E Grand Ave Ste 204, Laramie, WY 82070-3600 | 2019-09-17 |
| 1295291102 | New Horizons Nichole Taylor Pmhnp-bc | Nurse Practitioner | 2001 W Lakeway Rd Ste C, Gillette, WY 82718-5774 | 2019-02-15 |
| 1528558004 | Open Range Telepsychiatry LLC | Nurse Practitioner | 30 N Gould St Ste 7141, Sheridan, WY 82801-6362 | 2018-05-10 |
| 1093117210 | Teecee Ann Hailey-fulfer | Nurse Practitioner | 770 W Collins Dr Ste 200, Casper, WY 82601-2300 | 2014-09-18 |
| 1831505262 | Advanced Practice, LLC | Nurse Practitioner | 733 Big Horn Ave, Suite 1, Worland, WY 82401-2605 | 2014-07-07 |
| 1629320775 | Sunlight Psychiatry | Nurse Practitioner | 145 N Bernard St, Powell, WY 82435-2617 | 2012-10-12 |
| 1750658944 | Jenny M Heuck | Nurse Practitioner | 1400 Pioneer Rd, Sheridan, WY 82801-3334 | 2011-11-16 |
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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.