CONNIE JO GAMBREL (NPI# 1740224401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740224401 |
Entity Type | Individual |
Full Name | CONNIE JO GAMBREL |
Credential | PMHNP-BC |
Practice Address |
3924 S Village Drive New Palestine IN 46163 |
Practice Telephone | 3178615436 |
Practice Fax Number | 3178615436 |
Mailing Telephone | 3178615436 |
Mailing Fax Number | 3178615436 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2019-12-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
70000110A | IN | Nursing Service Providers |
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
28066452A | IN | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
70000110A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100323760A | 05 |
Street Address |
3924 S VILLAGE DRIVE |
City | NEW PALESTINE |
State | IN |
Zip Code | 46163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851657217 | Robert Philip Romano | Pharmacist | 2461 S Wildflower Lane, New Palestine, IN 46163 | 2012-04-10 |
1811022106 | Angela Dawn Marrow | Physical Therapy Assistant | 4919 W 1120 N, Newpalestine, IN 46163 | 2007-02-23 |
1588733596 | Sharon Paluga-staggs | Dentist | 4037 S Arbor Lane, New Palestine, IN 46163 | 2006-11-06 |
1669575387 | Hook Superx LLC | Pharmacy | 5026 West Us 52, New Palestine, IN 46163 | 2006-09-07 |
1508970575 | Community Hospitals of Indiana | Pediatrics | 4037 S. Arbor Lane, Suite D, New Palestine, IN 46163 | 2006-08-18 |
1265979108 | Chanel Herbertz | Nurse Practitioner | 5026 W Us 52, New Palestine, IN 46163 | 2017-01-30 |
1124463534 | Hoosier Hear Gear, LLC | Clinic/Center | 6375 W Us 52, New Palestine, IN 46163 | 2013-04-30 |
1376727578 | Heather Lynn Campbell | Specialist/Technologist | 1 School Street, New Palestine, IN 46163 | 2007-12-24 |
1538239447 | Sharon Paluga-staggs D.d.s., P.C. | Dentist | 4037 S Arbor Lane, New Palestine, IN 46163 | 2006-11-08 |
1538400940 | Brian Patrick Jennings | Chiropractor | 4056 S. Arbor Lane, Suite 100, New Palestine, IN 46163-0476 | 2013-03-11 |
Find all providers in zip 46163 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548875669 | Brooke Lavignette | Nurse Practitioner | 1805 Summit Dr, West Lafayette, IN 47906-2231 | 2020-09-15 |
1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
1942833306 | Osasumwen Igbinoba | Nurse Practitioner | 402 Wall St Ste 23, Valparaiso, IN 46383-2567 | 2020-02-13 |
1770114118 | Abbey Bolden | Nurse Practitioner | 929 Miller Ct, Greenfield, IN 46140-7267 | 2020-02-03 |
1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
1700430006 | Lusine Vardanyan | Nurse Practitioner | Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 | 2019-07-25 |
1134780851 | Eric Lyakhovetsky | Nurse Practitioner | 327 W Saidah Rd, Bloomington, IN 47404-8965 | 2019-06-24 |
1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
Find all providers with the same taxonomy |
City | NEW PALESTINE |
Zip Code | 46163 |
Please comment or provide details below to improve the information on CONNIE JO GAMBREL.
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.