MS. KRISTA ANN BLANTON-GOGUEN (NPI# 1679806368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679806368 |
| Entity Type | Individual |
| Full Name | MS. KRISTA ANN BLANTON-GOGUEN |
| Credential | CRNP |
| Practice Address |
251 N Bayou St Mobile AL 36603-5827 |
| Mailing Address |
Po Box 2867 Mobile AL 36652-2867 |
| Practice Telephone | 2516908894 |
| Practice Fax Number | 2515442188 |
| Mailing Telephone | 2516908894 |
| Mailing Fax Number | 2515442188 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-115682 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 213877 | 05 |
| Street Address |
251 N BAYOU ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36603-5827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425310 | Constance D Cooper | Obstetrics & Gynecology | 251 N Bayou St, Mobile, AL 36603-5827 | 2005-05-23 |
| 1427669449 | Janelle N Davis | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2020-08-13 |
| 1841853496 | Misty Guy | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2019-04-19 |
| 1629534656 | Mason Alexander Wade | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2019-02-14 |
| 1508351297 | Jeri Dean Jones | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-06-26 |
| 1629568308 | Emily Gurganus Hay | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-05-17 |
| 1518456052 | Betty Biggs | Social Worker | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-05-09 |
| 1992294433 | Dominique Kimble | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2018-05-09 |
| 1790291128 | Claris Leigh Feibelman | Dietitian, Registered | 251 N Bayou St, Mobile, AL 36603-5827 | 2017-12-21 |
| 1528573573 | Victoria King Kennedy | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603-5827 | 2017-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457813412 | Vanessa Gill | Home Health | 916 State St., Same As Above, Mobile, AL 36603 | 2019-04-01 |
| 1942784483 | Dale Deward Donnelly | Physical Therapy Assistant | 1361 Dr. Martin Luther King Jr. Ave., Mobile, AL 36603 | 2018-09-20 |
| 1760904338 | Elite Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1554 Basil Street, Mobile, AL 36603 | 2017-07-14 |
| 1699195024 | Jamie Hennigan | Student in an Organized Health Care Education/Training Program | 162.5 N Bayou St, Upper B, Mobile, AL 36603 | 2014-04-24 |
| 1487747945 | Beverly A Wilson | Dentist | 1303 Dr. Martin L King Jr Ave, Mobile, AL 36603 | 2006-10-02 |
| 1679532303 | Franklin Primary Health Center, Inc. | Obstetrics & Gynecology | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2006-03-21 |
| 1669657896 | James M Lawrence | Family Medicine | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2008-01-07 |
| 1417913682 | Montubua Vasser-smith | Internal Medicine | 1303 Dr Martin Luther King Jr Ave, Mobile, AL 36603 | 2006-04-25 |
| 1851356760 | Gail Anita Luker | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile Center Franklin Primary Health Center Inc, Mobile, AL 36603 | 2006-04-20 |
| 1982846754 | Dales Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 880 Martin Luther King Ave, Suite E, Mobile, AL 36603-0000 | 2009-03-25 |
| Find all providers in zip 36603 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222145 | Robert Adam Vickrey | Nurse Practitioner | 1718 Hunters Ridge Dr W, Mobile, AL 36695-9246 | 2020-07-15 |
| 1588286850 | Brandie Nicole Banks | Nurse Practitioner | 320 Stanton Rd Apt 1517, Mobile, AL 36617-2481 | 2020-05-10 |
| 1215569249 | Lisa K. Morris | Nurse Practitioner | 5721 Usa Drive North Hahn 2044, Mobile, AL 36688-0001 | 2020-02-07 |
| 1679118525 | Hicks Home-based Primary Care, LLC | Nurse Practitioner | 1111 E I65 Service Rd S Ste 210, Mobile, AL 36606-3123 | 2019-11-14 |
| 1417504325 | Jamie Kathryn Turner | Nurse Practitioner | 13080 Oak Forge Dr, Mobile, AL 36608-8782 | 2019-08-25 |
| 1780142653 | Melissa Snow Bryan | Nurse Practitioner | 4937 Langham Pl, Mobile, AL 36619-5201 | 2019-03-08 |
| 1508322231 | Akiko Ishida Makino | Nurse Practitioner | 75 S University Blvd # 6000a, Mobile, AL 36608-3042 | 2019-02-19 |
| 1932674975 | Justin Blake Stokes | Nurse Practitioner | 2050 Michigan Ave., Mobile, AL 36615 | 2018-10-05 |
| 1821590647 | Charleen Jackson | Nurse Practitioner | 2423 Schillinger Rd S Ste 103, Mobile, AL 36695-4142 | 2018-03-07 |
| 1265949200 | Jennifer Jennings Davis | Nurse Practitioner | 2451 Fillingim Street Suite 10-i, Mobile, AL 36617-2293 | 2017-12-29 |
| Find all providers in MOBILE | ||||
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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.