DESTINI BLANCHE GONYON (NPI# 1720412752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720412752 |
| Entity Type | Individual |
| Full Name | DESTINI BLANCHE GONYON |
| Credential | LPN |
| Practice Address |
2891 Knob Creek Rd Columbia TN 38401-1437 |
| Practice Telephone | 9317978744 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 76069 | TN | Nursing Service Providers |
| Street Address |
2891 KNOB CREEK RD |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568757 | Iman A Reed | Licensed Practical Nurse | 8 Ashbury Pl, Columbia, MS 39429-3729 | 2020-11-04 |
| 1407487127 | Michelle Thompson | Licensed Practical Nurse | 1113 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-01-31 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1396232286 | Rose Thompson | Licensed Practical Nurse | 315 Lampton Hilltop Rd, Columbia, MS 39429 | 2018-04-17 |
| 1497257125 | Latisha J Havens | Licensed Practical Nurse | 2000 Hampton St Fl 3, Columbia, SC 29204-1002 | 2018-03-08 |
| 1932619434 | Lindsey Suzanne Rapp | Licensed Practical Nurse | 7720 Highway 40 W, Columbia, MO 65202-9578 | 2017-10-10 |
| 1275059602 | Catherine Elizabeth Graham | Licensed Practical Nurse | 2807 Webster St, Columbia, SC 29205-1343 | 2017-08-17 |
| 1417471921 | Susan Lorenda Mclendon | Licensed Practical Nurse | 57 Bacchus Rd, Columbia, MS 39429-8208 | 2017-07-27 |
| 1134672223 | S Angela R Richardson | Licensed Practical Nurse | 1202 S James Campbell Blvd Ste 7a, Columbia, TN 38401-5358 | 2016-07-26 |
| 1669822003 | Debra Grabanski | Licensed Practical Nurse | 1000 W Nifong Blvd Ste 200, Columbia, MO 65203-5615 | 2016-06-16 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on DESTINI BLANCHE GONYON.
| 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.