DEBORAH L GOSNELL (NPI# 1790738573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790738573 |
| Entity Type | Individual |
| Full Name | DEBORAH L GOSNELL |
| Credential | CRNP |
| Practice Address |
3205 S Main St Sandy Lake PA 16145 |
| Mailing Address |
100 Shenango Ave Sharon PA 16146-1503 |
| Practice Telephone | 7243767111 |
| Practice Fax Number | 7243767165 |
| Mailing Telephone | (724) 376-7111 |
| Mailing Fax Number | 7243767165 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
TP004408B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BCBS | 000000517675 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881167492 | Deborah Gosnell | Speech-Language Pathologist | 125 N Court St, Westminster, MD 21157-5192 | 2019-01-07 |
| Street Address |
3205 S MAIN ST |
| City | SANDY LAKE |
| State | PA |
| Zip Code | 16145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083084495 | Primary Health Network | Clinic/Center | 3205 S Main St, Sandy Lake, PA 16145 | 2015-09-28 |
| 1952677387 | Corinne Frances Brooks | Pediatrics | 3205 S Main St, Sandy Lake, PA 16145 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665751 | Chandan Dental Associates | Clinic/Center | 3242 S Main Street, Sandy Lake, PA 16145 | 2020-09-30 |
| 1578942538 | Omar Elfiky | Dentist | 3242 S Main St, Sandy Lake, PA 16145 | 2015-05-23 |
| 1124124912 | Leslie Arthur Jenkins | Dentist | 3282 South Main St, Sandy Lake, PA 16145 | 2006-09-16 |
| 1740250455 | Lonny C Ware | Optometrist | 33 Walnut St, Sandy Lake, PA 16145 | 2006-01-25 |
| 1164414835 | Dennis J Charlton | Dentist | 3242 South Main Street, Box 487, Sandy Lake, PA 16145 | 2005-08-18 |
| 1104827476 | Thomas J Kosick | Dentist | 3242 S. Main St, Sandy Lake, PA 16145-0487 | 2005-08-09 |
| 1497972327 | Bethany Sue Kocher | Licensed Practical Nurse | 2589 Mercer St, Sandy Lake, PA 16145-3723 | 2007-04-20 |
| 1740398825 | Cl Cressler Inc | Pharmacy | 3289 S Main St, Sandy Lake, PA 16145-3739 | 2006-08-28 |
| 1730285677 | Susan Schwab Ruediger | Pharmacist | 3289 S Main St, Sandy Lake, PA 16145-3739 | 2006-09-16 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1891395406 | Eimy Aguilar | Nurse Practitioner | 18 Descartes Dr, Lancaster, PA 17603-8861 | 2020-11-01 |
| 1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
| 1932709912 | Sheri Lynn Tittelmayer | Nurse Practitioner | 1012 Rozel Ave, Southampton, PA 18966-4130 | 2020-10-28 |
| 1346849197 | Alexander F Talarico | Nurse Practitioner | 576 Broad St, Emmaus, PA 18049-3856 | 2020-10-22 |
| 1255930129 | Patrick A Foster | Nurse Practitioner | 3332 Eisenbrown Rd, Reading, PA 19605-1412 | 2020-10-22 |
| 1033718051 | Charlene Martin Wolfgang | Nurse Practitioner | 806 Megan Dr, Cranberry Twp, PA 16066-7422 | 2020-10-21 |
| 1750980728 | Jamie Simpson | Nurse Practitioner | 618 Rachelle Ct, Latrobe, PA 15650-4731 | 2020-10-21 |
| 1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
| 1831798867 | Elena Khlobystova | Nurse Practitioner | 16 Carriage House Dr, Southampton, PA 18966-2225 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | SANDY LAKE |
| Zip Code | 16145 |
Please comment or provide details below to improve the information on DEBORAH L GOSNELL.
| 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.