MRS. NANCY G. BLADSACKER (NPI# 1336309921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336309921 |
| Entity Type | Individual |
| Full Name | MRS. NANCY G. BLADSACKER |
| Credential | DNP, FNP-BC, CNM |
| Practice Address |
4502 Old Pass Rd Gulfport MS 39501-2585 |
| Practice Telephone | 2288639977 |
| Practice Fax Number | 2288639912 |
| Mailing Telephone | 2288639977 |
| Mailing Fax Number | 2288639912 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2017-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | R678341 | MS | Other Service Providers |
| N | 363L00000X | Nurse Practitioner | R678341 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09289359 | 05 |
| Street Address |
4502 OLD PASS RD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487631750 | Charles Lee Robinson | Obstetrics & Gynecology | 4502 Old Pass Rd, Gulfport, MS 39501 | 2005-12-28 |
| 1962950303 | Ashley Nicole Dean-reaves | Nurse Practitioner | 4502 Old Pass Rd, Gulfport, MS 39501 | 2016-09-14 |
| 1437529195 | Generations Obstetrical and Gynecological Clinic of The Gulf Coast, Ll | Obstetrics & Gynecology | 4502 Old Pass Rd, Gulfport, MS 39501-2585 | 2015-10-06 |
| 1295178580 | Jacob Randall Lassiter | Obstetrics & Gynecology | 4502 Old Pass Rd, Gulfport, MS 39501-2585 | 2013-04-17 |
| 1508186990 | David Provosty Taylor Jr. | Obstetrics & Gynecology | 4502 Old Pass Rd, Gulfport, MS 39501 | 2010-06-08 |
| 1326225988 | Jane Martin Hitch | Advanced Practice Midwife | 4502 Old Pass Rd, Gulfport, MS 39501 | 2008-01-25 |
| 1538287479 | Kathrine Ione Gaddy | Nurse Practitioner | 4502 Old Pass Rd, Gulfport, MS 39501 | 2007-03-27 |
| 1023064276 | Laura Claire Singley | Nurse Practitioner | 4502 Old Pass Rd, Gulfport, MS 39501 | 2006-05-26 |
| 1366411944 | Gulfport Obstetrical & Gynecological Clinic, Pa | Obstetrics & Gynecology | 4502 Old Pass Rd, Gulfport, MS 39501-2585 | 2006-03-16 |
| 1235107004 | Kimberly M Williams | Advanced Practice Midwife | 4502 Old Pass Rd, Gulfport, MS 39501-2585 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942392386 | Garden Park Physician Services Corp. | Midwife | 15190 Community Rd, Suite 330, Gulfport, MS 39503-3485 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014276 | Divine Breakthrough Ministries Worldwide (the Breakthrough Center) | Midwife | 9143 Hwy 178, Olive Branch, MS 38654-3865 | 2020-05-08 |
| 1598308488 | Aurielle Lanai Fields | Midwife | 4762 W Commerce St, Hernando, MS 38632-8436 | 2019-10-23 |
| 1184076762 | Full Circle Midwifery, LLC | Midwife | 4716 Highway 304, Hernando, MS 38632-8436 | 2016-07-07 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1700285350 | Tera Smith | Midwife | 22250 Derrick Rd, Pass Christian, MS 39571-5301 | 2014-08-20 |
| 1003166117 | Scott Regional Medical Center, Inc. | Midwife | 321 Hwy 13 South, Morton, MS 39117 | 2012-09-17 |
| 1164758652 | Renata Holland Hillman | Midwife | 7248 Brushy Creek Rd, Lucedale, MS 39452-8820 | 2009-10-19 |
| 1194323170 | Laird Hospital, Inc. | Midwife | 252 Northside Dr, Newton, MS 39345-9756 | 2020-10-13 |
| 1598262834 | Sherene Lynnell Broome | Midwife | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2018-04-12 |
| 1790207702 | Shelley Courtney | Midwife | 905c S Frontage Rd, Meridian, MS 39301 | 2017-07-11 |
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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.