AMY MARIE GIBBENS (NPI# 1679001754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679001754 |
| Entity Type | Individual |
| Full Name | AMY MARIE GIBBENS |
| Credential | FNP-C |
| Practice Address |
2820 E Rock Haven Rd Ste 100 Harrisonville MO 64701-4413 |
| Practice Telephone | (816) 380-3582 |
| Practice Fax Number | 8163806964 |
| Mailing Telephone | 8163803582 |
| Mailing Fax Number | 8163806964 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2020-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017016966 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124281050 | Amy Lynn Gibbens | Case Manager/Care Coordinator | 200 N Choctaw Ave, Suite 140, El Reno, OK 73036-2624 | 2008-07-10 |
| Street Address |
2820 E ROCK HAVEN RD STE 100 |
| City | HARRISONVILLE |
| State | MO |
| Zip Code | 64701-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184036295 | Jayme Decker | Family Medicine | 2820 E Rock Haven Rd Ste 100, Harrisonville, MO 64701-4413 | 2014-05-22 |
| 1972158426 | Jennifer Marie Hacker | Nurse Practitioner | 2820 E Rock Haven Rd Ste 100, Harrisonville, MO 64701-4413 | 2019-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598384414 | Leo Dickson | Hearing Instrument Specialist | 2006 N, Route 291, Harrisonville, MO 64701 | 2020-04-10 |
| 1457999443 | Stephanie Herndon | Counselor | 316 S. Independence Street, Harrisonville, MO 64701 | 2019-12-20 |
| 1972154300 | Amanda Wilkes | Counselor | 105c W Wall St, Harrisonville, MO 64701 | 2019-09-26 |
| 1740762806 | John Curtis Burton | Optometrist | 2100 E. Mechanic Street, Harrisonville, MO 64701 | 2018-09-05 |
| 1629595368 | Megan Elizabeth Griffin | Speech-Language Pathologist | 503 S. Lexington St, Harrisonville, MO 64701 | 2017-08-24 |
| 1073853586 | Lon Roland Tracy | Dentist | 300 S. Independence Street, Harrisonville, MO 64701 | 2013-02-20 |
| 1932491396 | Leesa Bowman | Occupational Therapist | 2001 Jefferson Pkwy, Harrisonville, MO 64701 | 2011-05-04 |
| 1952543894 | Sarah Sharp | Chiropractor | 207 E Wall St., Harrisonville, MO 64701 | 2009-03-24 |
| 1386833788 | Elaine Boyd | Nurse Practitioner | 300 Galaxie Ave., Harrisonville, MO 64701 | 2007-10-22 |
| 1093920639 | Serc of Harrisonville, L.L.C. | Durable Medical Equipment & Medical Supplies | 815 Westchester Avenue, Harrisonville, MO 64701 | 2007-05-14 |
| Find all providers in zip 64701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831188143 | Marsha Jeane Burris | Nurse Practitioner | 2820 E. Rock Haven Rd., Suite 100, Harrisonville, MO 64701-2082 | 2005-10-19 |
| 1598381279 | Gina Marie Accurso-lee | Nurse Practitioner | 2800 E Rock Haven Rd, Harrisonville, MO 64701-4411 | 2020-06-18 |
| 1972158426 | Jennifer Marie Hacker | Nurse Practitioner | 2820 E Rock Haven Rd Ste 100, Harrisonville, MO 64701-4413 | 2019-08-01 |
| 1649831413 | Andrea Hansen | Nurse Practitioner | 306 S Independence St, Harrisonville, MO 64701-2352 | 2019-06-24 |
| 1306377577 | Jennifer Marie Ryan | Nurse Practitioner | 2820 E Rock Haven Rd, Ste. 100, Harrisonville, MO 64701-4411 | 2017-03-21 |
| 1932501624 | Laura Prater Geoghegan | Nurse Practitioner | 2800 E Rock Haven Rd, Harrisonville, MO 64701-4411 | 2014-09-24 |
| 1487056354 | Laura Marie Grier | Nurse Practitioner | 3001 E Elm St, Harrisonville, MO 64701-1196 | 2014-09-22 |
| 1982005146 | Melinda Michelle Lacy | Nurse Practitioner | 2820 E Rock Haven Rd Ste 210, Harrisonville, MO 64701-4414 | 2014-09-08 |
| 1356692701 | Amanda Sue Wilson | Nurse Practitioner | 2820 E Rock Haven Rd, Ste. 100, Harrisonville, MO 64701-4411 | 2012-09-25 |
| 1578863841 | Deana Marie Self | Nurse Practitioner | 2820 E Rock Haven Rd, Suite 100, Harrisonville, MO 64701-4411 | 2010-11-02 |
| Find all providers in HARRISONVILLE | ||||
| City | HARRISONVILLE |
| Zip Code | 64701 |
Please comment or provide details below to improve the information on AMY MARIE GIBBENS.
| 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.