GWEN M MAVIS


Address: 819 S Bus Hwy 13, Lexington, MO 64067-1515
Phone: 6602593898

GWEN M MAVIS (NPI# 1588063416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588063416
Entity Type Individual
Full Name GWEN M MAVIS
Credential LPN
Practice Address 819 S Bus Hwy 13
Lexington
MO 64067-1515
Mailing Address 14223 Highway U
Odessa
MO 64076-6467
Practice Telephone 6602593898
Mailing Telephone 6083438808
Enumeration Date 2014-08-15
Last Update Date 2014-08-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 16W00000X MO Nursing Service Providers

Office Location

Street Address 819 S BUS HWY 13
City LEXINGTON
State MO
Zip Code 64067-1515

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245712793 Maria Jean Mulvey Speech-Language Pathologist Lexington R-v School District Office 2323a, High School Drive, Lexington, MO 64067 2018-08-31
1396237863 Maegen Mone Taylor Dental Hygienist 547 S Business Highway 13, Lexington, MO 64067 2018-05-31
1922513126 Chelsea Tyler Occupational Therapist 2108 Main St, Lexington, MO 64067 2017-12-10
1811348014 Lea Rich Dentist 811a South Business 13 Hwy, Lexington, MO 64067 2016-06-29
1982002549 Samuel U. Rodgers Health Center, Inc Clinic/Center 2309 Aull Ln, Lexington, MO 64067 2014-12-15
1629320296 Lindsey Jordan Hall Dental Hygienist 811- A South 13 Highway, Lexington, MO 64067 2012-10-08
1164614053 Samuel U. Rodgers Health Center, Inc. Clinic/Center 811 S Business Highway 13 Ste A, Lexington, MO 64067 2007-08-14
1679642664 Betsy Jill Maclaughlin Social Worker 525 State Hwy 13, Lexington, MO 64067 2006-11-06
1902909021 Jeffrey O Johnson Dentist 611 S 13 Hwy, Lexington, MO 64067 2006-09-06
1194758987 Penny A Dunning Nurse Practitioner 811a South Highway 13, Lexington, MO 64067 2006-07-08
Find all providers in zip 64067

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841798972 Natisha Tamel Johnson Licensed Practical Nurse 448 Riglaw Cir, Lexington, SC 29073-7825 2018-01-23
1144741042 Susan Desiree Bailey Licensed Practical Nurse 1104 S Main St # A, Lexington, NC 27292-3134 2017-06-29
1427411941 Cheri Hood Licensed Practical Nurse 71654 Sunset Dr., Lexington, MI 48450 2016-04-01
1558675520 Elizabeth Landon Licensed Practical Nurse 2122 Willow Ln, Lexington, OH 44904-9718 2010-08-02
1215251202 Daniel Junior Gardner Licensed Practical Nurse 104 David Dr, Lexington, SC 29073-8668 2010-03-18
1841526340 Alicia Marie Dechert Licensed Practical Nurse 2809 Quail Run Ct, Lexington, OH 44904-1360 2009-10-19
1023249950 Reeca L Prater Licensed Practical Nurse 125 Codell Dr, Suite 116, Lexington, KY 40509-1183 2009-07-27
1902035413 Charme A Carroll Licensed Practical Nurse 8235 St Rt 314, Lexington, OH 44904 2009-07-06
1710138326 Phyllis J. Smith Licensed Practical Nurse 8245 Township Road 56, Lexington, OH 44904-8703 2008-10-02
1104082270 Carol Ann Frazier II Licensed Practical Nurse 37 Devon Rd, Lexington, OH 44904-1018 2008-07-29
Find all providers in LEXINGTON

Competitor

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City LEXINGTON
Zip Code 64067

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Dataset Information

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.

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