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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 16W00000X | MO | Nursing Service Providers |
Street Address |
819 S BUS HWY 13 |
City | LEXINGTON |
State | MO |
Zip Code | 64067-1515 |
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 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 |
---|---|---|---|---|
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 |
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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.