DEVONA J GIBBS (NPI# 1215915889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215915889 |
Entity Type | Individual |
Full Name | DEVONA J GIBBS |
Credential | FNP |
Practice Address |
196 Timber Ridge Trl Poplar Bluff MO 63901-1595 |
Mailing Address |
196 Timber Ridge Trl Room 205 Poplar Bluff MO 63901-1595 |
Practice Telephone | 5736864133 |
Practice Fax Number | 5737781099 |
Mailing Telephone | 5737782888 |
Mailing Fax Number | 8776103774 |
Enumeration Date | 2006-01-04 |
Last Update Date | 2016-08-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
064033 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 428182034 | 05 | |
TRAVELERS MEDICARE | 500000980 | 01 | |
AR | 133802758 | 05 |
Street Address |
196 TIMBER RIDGE TRL |
City | POPLAR BLUFF |
State | MO |
Zip Code | 63901-1595 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
Find all providers in zip 63901 |
Taxonomy Code | 363LC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902279110 | Gibbs Wound Care LLC | Nurse Practitioner | 2210 Barron Rd, Room 205, Poplar Bluff, MO 63901-1908 | 2015-11-10 |
1437137056 | Doris F Hays | Nurse Practitioner | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2006-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911297 | Madeline Jane Distler | Nurse Practitioner | 4590 Childrens Pl Stop 90-29916, Saint Louis, MO 63110-1020 | 2020-10-27 |
1003949587 | Kristin C Robertson | Nurse Practitioner | 805 Gulf St., Lamar, MO 64759-1238 | 2007-03-13 |
1437797727 | Jonathan C Kyonka | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-12-17 |
1588194427 | Amanda Agee | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2017-06-13 |
1306206677 | Mara Wear | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-03-01 |
1609235506 | Renae Brines | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-02-19 |
1275991523 | Heather Boyd | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-02-02 |
1376916478 | Nathan Hagen | Nurse Practitioner | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2015-11-11 |
1427473859 | Michaela Parsel | Nurse Practitioner | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2014-02-21 |
1194149310 | Molly Hope Schapker | Nurse Practitioner | 4440 Broadway St, Kansas City, MO 64111-3315 | 2014-02-07 |
Find all providers with the same taxonomy |
City | POPLAR BLUFF |
Zip Code | 63901 |
Please comment or provide details below to improve the information on DEVONA J GIBBS.
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.