MISTY G GILLEY (NPI# 1891141529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891141529 |
| Entity Type | Individual |
| Full Name | MISTY G GILLEY |
| Credential | FNP |
| Practice Address |
913 N Dixie Ave Elizabethtown KY 42701-2503 |
| Mailing Address |
Po Box 950112 Dept # 52387 Louisville KY 40295-0112 |
| Practice Telephone | 8777836257 |
| Practice Fax Number | 8595145521 |
| Mailing Telephone | 8777836257 |
| Mailing Fax Number | 8595145521 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3010142 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICAL LICENSE | 3010142 | 01 |
| Street Address |
913 N DIXIE AVE |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023099629 | Elizabeth Anne Shelton | Nurse Practitioner | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2005-11-10 |
| 1356941058 | Baptist Healthcare System Inc | Clinical Medical Laboratory | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-10-30 |
| 1902406192 | Baptist Healthcare System Inc | Dietitian, Registered | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-10-28 |
| 1003413386 | Porter Lee Ramsey V | Pharmacist | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-10-08 |
| 1568075588 | Baptist Healthcare System, Inc | Clinical Medical Laboratory | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-08-28 |
| 1538771175 | Mendy Dawn Hayes | Nurse Practitioner | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-08-17 |
| 1720696149 | Baptist Healthcare System, Inc. | Pharmacy | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-07-22 |
| 1689282147 | Baptist Healthcare System Inc | General Acute Care Hospital | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-07-21 |
| 1013525583 | Baptist Healthcare System Inc | Psychiatric Unit | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-07-21 |
| 1215545777 | Baptist Healthcare System Inc | Skilled Nursing Facility | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619584653 | Craig H Dutton | Nurse Practitioner | 609 Il Route 146 E, Elizabethtown, IL 62931-4015 | 2020-09-24 |
| 1568077246 | Brittany Danyale Brashear | Nurse Practitioner | 2407 Ring Rd Ste 114, Elizabethtown, KY 42701-5938 | 2020-09-10 |
| 1528613171 | Aaron Benjamin Newton | Nurse Practitioner | 394 Brentwood Dr, Elizabethtown, KY 42701-5376 | 2019-08-09 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1063970366 | Melissa Anne Baumgardner | Nurse Practitioner | 1311 Ring Rd Ste 105, Elizabethtown, KY 42701-8963 | 2019-03-05 |
| 1255809596 | Cumberland Family Medical Center, Inc. | Nurse Practitioner | 1323 St John Rd, Elizabethtown, KY 42701-8745 | 2018-11-05 |
| 1700396959 | Tanya F Revor | Nurse Practitioner | 1321 Ring Rd Ste 107, Elizabethtown, KY 42701-8940 | 2017-10-02 |
| 1235586116 | Richard Clint Cron | Nurse Practitioner | 2413 Ring Road Suite 122, Elizabethtown, KY 42701 | 2016-05-19 |
| 1518358431 | Jessica Muth | Nurse Practitioner | 1239 Woodland Dr Ste 108, Elizabethtown, KY 42701 | 2015-02-13 |
| 1689083750 | Bisona Yeba Bennett | Nurse Practitioner | 120 Helmwood Plaza Dr Ste 200, Elizabethtown, KY 42701 | 2014-08-04 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on MISTY G GILLEY.
| 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.