MRS. CARMEN G GATLIN (NPI# 1942320593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942320593 |
| Entity Type | Individual |
| Full Name | MRS. CARMEN G GATLIN |
| Other Name | CARMEN G ANDERSON |
| Credential | ACNP |
| Practice Address |
1550 Moores Ln Texarkana TX 75503-4657 |
| Practice Telephone | 9037937378 |
| Mailing Telephone | 9037937378 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R52539 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DEA | MG4503172 | 01 |
| AR | ARK NURSING LIC ACNP CRED | R52539 | 01 |
| Street Address |
1550 MOORES LN |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-4657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356455638 | Red River Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 1550 Moores Ln, Texarkana, TX 75503-4657 | 2006-08-17 |
| 1922383835 | Red River Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 1550 Moores Ln, Texarkana, TX 75503-4657 | 2011-10-12 |
| 1689702508 | Tex-ar Medical Supply, Lp | Durable Medical Equipment & Medical Supplies | 1550 Moores Ln, Texarkana, TX 75503-4657 | 2007-03-01 |
| 1043322696 | Michelle R Dehan | Internal Medicine | 1550 Moores Ln, Texarkana, TX 75503-4657 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609920 | Jamie Patterson | Nurse Practitioner | 6018 Summerwood Ln, Texarkana, AR 71854-9403 | 2017-03-03 |
| 1194090787 | Candace Ann Hambleton | Nurse Practitioner | 5602 Richmond Rd Ste 104, Texarkana, TX 75503-0877 | 2012-03-14 |
| 1891955043 | Charles Shoalmire Jr. | Nurse Practitioner | 2604 Saint Michael Dr Ste 345, Texarkana, TX 75503-2378 | 2008-06-11 |
| 1518147776 | Amy A Kennemore | Nurse Practitioner | 1002 Texas Blvd Ste 325, Texarkana, TX 75501-5118 | 2007-11-05 |
| 1417416819 | Erin Mccasland | Nurse Practitioner | 5730 Summerhill Rd, Texarkana, TX 75503-1635 | 2019-03-15 |
| 1467939975 | John Benjamin Harrison | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-07-26 |
| 1629420310 | Tanya Lynn Austin | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2016-07-06 |
| 1730583840 | Jacob Kelton | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2014-10-17 |
| 1144623356 | Michael Thomas Crabtree | Nurse Practitioner | 4105 N Kings Hwy, Texarkana, TX 75503-4861 | 2014-10-01 |
| 1699066969 | Mandy Michelle Carter | Nurse Practitioner | 921 Texas Blvd Ste D, Texarkana, TX 75501-5163 | 2011-04-21 |
| Find all providers in TEXARKANA | ||||
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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.