MS. SAMARA BREANE GUNN (NPI# 1437297405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437297405 |
| Entity Type | Individual |
| Full Name | MS. SAMARA BREANE GUNN |
| Credential | LPN |
| Practice Address |
3169 2nd Ave East Big Stone Gap VA 24219 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 2765238600 |
| Practice Fax Number | 2765236964 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673696 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 0002074032LPN | VA | Nursing Service Providers |
| Street Address |
3169 2ND AVE EAST |
| City | BIG STONE GAP |
| State | VA |
| Zip Code | 24219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447398748 | Jessica Dolly Hamm | Case Manager/Care Coordinator | 3169 2nd Ave East, Big Stone Gap, VA 24219 | 2007-02-01 |
| 1356466395 | Rhonda Alane Bennett | Technician, Other | 3169 2nd Ave East, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1659495786 | Rhonda Denise Rose | Technician, Other | 3169 2nd Ave East, Big Stone Gap, VA 24219 | 2007-03-16 |
| 1205964343 | Pamela Lynn Varner | Registered Nurse | 3169 2nd Ave East, Big Stone Gap, VA 24219 | 2007-03-01 |
| 1386772424 | Vonda Elaine Green | Registered Nurse | 3169 2nd Ave East, Big Stone Gap, VA 24219 | 2007-03-01 |
| 1639217912 | Terry Stewart Wallace | Case Manager/Care Coordinator | 3169 2nd Ave East, Big Stone Gap, VA 24219 | 2007-02-01 |
| 1558409854 | Mary C Daniels | Registered Nurse | 3169 2nd Ave East, Big Stone Gap, VA 24219 | 2007-02-01 |
| 1770621997 | Deborah Graham Ledford | Case Manager/Care Coordinator | 3169 2nd Ave East, Wise County Behavioral Health, Big Stone Gap, VA 24219 | 2007-02-01 |
| 1497893770 | Heather Nicole Dorton | Case Manager/Care Coordinator | 3169 2nd Ave East, Big Stone Gap, VA 24219 | 2007-02-01 |
| 1659419935 | Darcy Jo Gardner | Case Manager/Care Coordinator | 3169 2nd Ave East, Big Stone Gap, VA 24219 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408962 | Dillon Wayne Roberts | Private Vehicle | 2101 Seterra St, Big Stone Gap, VA 24219 | 2020-02-05 |
| 1609427525 | Joan M Daniel | Technician | 800 Buffalo Ridge Road, Big Stone Gap, VA 24219 | 2019-09-23 |
| 1932634953 | Big Stone Economy Drug Inc | Pharmacy | 205 East 5th Street North, Big Stone Gap, VA 24219 | 2017-04-27 |
| 1639519655 | Family Preservation Services, Inc. | Community/Behavioral Health | Two Champions Avenue, Big Stone Gap, VA 24219 | 2013-07-05 |
| 1134464456 | Family Preservation Services, Inc | Community/Behavioral Health | 212 Monta Vista Lane, Big Stone Gap, VA 24219 | 2012-11-28 |
| 1902158892 | Tommie Jo Harding | Registered Nurse | 1508 Third Ave East, Big Stone Gap, VA 24219 | 2012-10-03 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| 1770833238 | Melinda Dawn Hamm | Licensed Practical Nurse | 1508 3rd Ave East, Big Stone Gap, VA 24219 | 2012-09-12 |
| 1801197470 | Family Preservation Services, Inc. | Community/Behavioral Health | 170 Mountain View Circle, Big Stone Gap, VA 24219 | 2010-11-12 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| Find all providers in zip 24219 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1821341561 | Lora Lynn Miller | Licensed Practical Nurse | 1503 3rd Ave East, Big Stone Gap, VA 24219-1508 | 2012-10-18 |
| 1770833238 | Melinda Dawn Hamm | Licensed Practical Nurse | 1508 3rd Ave East, Big Stone Gap, VA 24219 | 2012-09-12 |
| 1316306491 | Teresa Beverly | Licensed Practical Nurse | 43 Champions Ave, Big Stone Gap, VA 24219-1105 | 2016-02-17 |
| 1427417609 | Jennifer Mae Cox | Licensed Practical Nurse | 43 Champions Ave, Big Stone Gap, VA 24219-1105 | 2016-02-17 |
| 1477809275 | Rebecca Faith Bolling | Licensed Practical Nurse | 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | 2012-07-30 |
| 1033257928 | Brenda Faye Palmer | Licensed Practical Nurse | 3169 2nd Avenue East, Big Stone Gap, VA 24219 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891595 | Vycki J Midgette | Licensed Practical Nurse | 26444 Gladding Rd, Mears, VA 23409-2304 | 2020-11-07 |
| 1457959827 | Stella Nancy Morgan-bendu | Licensed Practical Nurse | 5568 General Washington Dr Ste A201, Alexandria, VA 22312-2465 | 2020-10-16 |
| 1992312953 | Ruth Ann Stephens | Licensed Practical Nurse | 128 Parrott St, Danville, VA 24540-2610 | 2020-09-24 |
| 1669085486 | Richarda Fields | Licensed Practical Nurse | 1013 Kenelm Ct, Virginia Beach, VA 23464-8845 | 2020-08-31 |
| 1922611078 | Edwin Charles Khonyongwa | Licensed Practical Nurse | 7829 Dolleys Ct, King George, VA 22485-7085 | 2020-08-28 |
| 1841800471 | Zainab Jalloh | Licensed Practical Nurse | 1384 Old Bridge Rd Ste 200-b, Woodbridge, VA 22192-2769 | 2020-08-07 |
| 1528678919 | Unique Health Services | Licensed Practical Nurse | 13945 Hollow Wind Way Unit 101, Woodbridge, VA 22191-6057 | 2020-07-31 |
| 1407465180 | There's No Place Like Home Health Agency | Licensed Practical Nurse | 7274 Hanover Green Dr., Mechanicsville, VA 23111-1797 | 2020-07-28 |
| 1821616723 | Sherita Johnson | Licensed Practical Nurse | 3411 Castlebury Dr, Chester, VA 23831-1860 | 2020-07-08 |
| 1639790462 | Bandetra Oglesby-confron | Licensed Practical Nurse | 300 Continental Pkwy Apt 302, Newport News, VA 23602-4542 | 2020-05-04 |
| Find all providers with the same taxonomy | ||||
| City | BIG STONE GAP |
| Zip Code | 24219 |
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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.