DEBRA S GAUTIER (NPI# 1831625854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831625854 |
| Entity Type | Individual |
| Full Name | DEBRA S GAUTIER |
| Credential | RN |
| Practice Address |
3407 Shamrock Ct Gautier MS 39553-5337 |
| Practice Telephone | 2284970690 |
| Practice Fax Number | 2284971363 |
| Mailing Telephone | 2284970690 |
| Mailing Fax Number | 2284971363 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R146270 | MS | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00018214 | 05 |
| Street Address |
3407 SHAMROCK CT |
| City | GAUTIER |
| State | MS |
| Zip Code | 39553-5337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626905 | Julie T Trice | Nurse Practitioner | 3407 Shamrock Ct, Gautier, MS 39553 | 2005-08-11 |
| 1144820689 | Erica Lynn Holden | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-10-26 |
| 1588271100 | Kayla Mitchell | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-09-28 |
| 1134733967 | Elizabeth Ann Shepard-bynum | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-31 |
| 1336751916 | Courtney Dale Trull | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-17 |
| 1073138509 | Thomas Gregory Hicks | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-06-10 |
| 1588287148 | Kaitlyn Hinton | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-05-18 |
| 1043832140 | Brenda Gail Miller | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-05-12 |
| 1639716517 | Chiquita Walker | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-12-10 |
| 1629615505 | Alexusia Jones | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-12-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| 1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
| 1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
| 1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
| 1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
| 1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
| Find all providers in zip 39553 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1265843411 | Elnora Lawrence | Registered Nurse | 1617 Lark Dr, Gautier, MS 39553-3131 | 2014-05-09 |
| 1689281214 | Tamika Davis | Registered Nurse | 330b Highway 90, Gautier, MS 39553-5744 | 2020-09-28 |
| 1326656802 | Evelynn Malone Stephens | Registered Nurse | 330b Highway 90, Gautier, MS 39553-5744 | 2020-07-21 |
| 1023570728 | Cindy Edna Spence | Registered Nurse | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-04-02 |
| 1134619760 | Zoe Marine Brown | Registered Nurse | 3407 Shamrock Ct, Gautier, MS 39553 | 2018-05-18 |
| 1699227124 | Renaldo Jordan | Registered Nurse | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2016-11-01 |
| 1053611491 | Julie Screven Mcvay | Registered Nurse | 3407 Shamrock Ct, Gautier, MS 39553-6429 | 2010-11-02 |
| 1366532129 | Suzanne Katz | Registered Nurse | 3407 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316952 | Jennifer Hume Cook | Registered Nurse | 64 Napa Valley Cir, Madison, MS 39110-8892 | 2020-11-05 |
| 1356940803 | Elizabeth Marie Cole | Registered Nurse | 100 Sandpiper Cv, Mooreville, MS 38857-6012 | 2020-10-25 |
| 1124627690 | Alison Denise Perryman | Registered Nurse | 4975 Highway 51 N, Senatobia, MS 38668-1714 | 2020-10-25 |
| 1891394821 | Mandy Lynn Kwarsick | Registered Nurse | 708 Humphries Cove Rd, West Point, MS 39773-8215 | 2020-10-21 |
| 1821697111 | Tenesha Coats | Registered Nurse | 176 Circle Rd, Taylorsville, MS 39168-4656 | 2020-10-19 |
| 1003414509 | Katelyn Stalnaker Richardson | Registered Nurse | 160 N Brooks St, Pontotoc, MS 38863-1612 | 2020-10-15 |
| 1952915092 | Missy Brown Foster | Registered Nurse | 5301 Kristy Ln, Southaven, MS 38671-7424 | 2020-09-05 |
| 1871106773 | Mississippi Medical Relief Care, LLC | Registered Nurse | 199 Charmant Pl Ste 3b, Ridgeland, MS 39157-4358 | 2020-08-28 |
| 1063025062 | Frederick Marvin Terry | Registered Nurse | 2135 Henry Hill Dr Ste 200, Jackson, MS 39204-2013 | 2020-08-28 |
| 1750993481 | Niva Jamice King Alexander | Registered Nurse | 665 S Pear Orchard Road, Suite 106 #553, Ridgeland, MS 39157-4859 | 2020-08-24 |
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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.