MRS. NATALIE A GILLSON (NPI# 1821397456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821397456 |
| Entity Type | Individual |
| Full Name | MRS. NATALIE A GILLSON |
| Credential | M.D. |
| Practice Address |
15901 Bass Rd Suite 108 Fort Myers FL 33908 |
| Mailing Address |
P.o. Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393439890 |
| Practice Fax Number | 2393439898 |
| Mailing Telephone | 2393436050 |
| Mailing Fax Number | 2393436051 |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
ME127481 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017542100 | 05 |
| Street Address |
15901 BASS RD SUITE 108 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851819 | Tammy L Mccarty | Clinical Nurse Specialist | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2005-06-14 |
| 1174877104 | Kathleen N Tenrreiro | Nurse Practitioner | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2012-10-29 |
| 1811126253 | Sujana Reddy | Pediatrics | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2009-07-07 |
| 1992943781 | Guillermo A Philipps | Psychiatry & Neurology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2009-02-02 |
| 1336390970 | Melissa I Lee | Obstetrics & Gynecology | 15901 Bass Rd, Suite 100, Fort Myers, FL 33908-3838 | 2008-10-01 |
| 1326250523 | Dina Belachew Pearson | Pediatrics | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2007-05-03 |
| 1336368927 | Britt Allen Stroud | Psychiatry & Neurology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2007-04-24 |
| 1093875106 | Sheila Margaret Rossell | Nurse Practitioner | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2006-12-11 |
| 1265444715 | Asjad U Khan | Pediatrics | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2006-08-13 |
| 1750313102 | Denise M Waszkowski | Advanced Practice Midwife | 15901 Bass Rd, Fort Myers, FL 33908-3838 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104211630 | Sophia French | Psychiatry & Neurology | 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838 | 2015-04-01 |
| 1992943781 | Guillermo A Philipps | Psychiatry & Neurology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2009-02-02 |
| 1336368927 | Britt Allen Stroud | Psychiatry & Neurology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2007-04-24 |
| 1174670020 | Jose Colon | Psychiatry & Neurology | 13601 Plantation Rd, Fort Myers, FL 33912-4437 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841724861 | Neuro and Epilepsy Care Inc | Psychiatry & Neurology | 331 N Maitland Ave Ste D3, Maitland, FL 32751-4755 | 2017-04-17 |
| 1407201510 | Robert Kropp | Psychiatry & Neurology | 100 Beach Dr Ne Unit 1702, Saint Petersburg, FL 33701-3969 | 2016-04-26 |
| 1497142178 | Gian Carlo Rossi | Psychiatry & Neurology | 1324 Lakeland Hills Blvd Ste A, Lakeland, FL 33805-4543 | 2015-04-21 |
| 1851638167 | Ernesto J. Millan Md. Pa. | Psychiatry & Neurology | 5110 N. Habana Ave. Suite #1, Tampa, FL 33614-6873 | 2013-01-07 |
| 1942557863 | Henry Osso-rivera | Psychiatry & Neurology | 3100 Sw 62nd Ave Ofc, Miami, FL 33155-3009 | 2012-08-09 |
| 1235492679 | Clermont Neurology,pa | Psychiatry & Neurology | 17307 Pagonia Dr., Suite 100, Clermont, FL 34711-5932 | 2012-06-20 |
| 1093073645 | Abigail E Ley | Psychiatry & Neurology | 150 Sw Chamber Ct Ste 120, Port Saint Lucie, FL 34986 | 2012-05-01 |
| 1033351317 | Danilo Augusto Duenas | Psychiatry & Neurology | 9900 S. Ocean Dr., (601), Jensen Beach, FL 34957 | 2009-04-01 |
| 1619125622 | Avi Elizabeth Domnitz-gebet | Psychiatry & Neurology | 5129 S Lakeland Dr Ste 2, Lakeland, FL 33813-2599 | 2008-09-03 |
| 1508021742 | Germano Falcao | Psychiatry & Neurology | 2984 Alafaya Trl Ste 2020, Oviedo, FL 32765-7628 | 2008-07-28 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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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.