ANASTASIA GAMBOA (NPI# 1831663723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831663723 |
| Entity Type | Individual |
| Full Name | ANASTASIA GAMBOA |
| Practice Address |
111 Carriage Sta Marion NC 28752-5906 |
| Practice Telephone | 8284601048 |
| Mailing Telephone | 8284601048 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
111 CARRIAGE STA |
| City | MARION |
| State | NC |
| Zip Code | 28752-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758810 | Teresa Gay Schism | Technician | 1756 Toms Creek Road, Marion, NC 28752 | 2019-09-04 |
| 1932646205 | Courtney Abrams | Physician Assistant | 472 Rankin Dr., Marion, NC 28752 | 2017-01-25 |
| 1780127548 | Invitation Therapy | Clinic/Center | 364 Us 70 W Ste 3, Marion, NC 28752 | 2016-11-28 |
| 1508311580 | Young Men Christian Association of Western North Carolina | Health Educator | 348 Grace Corpening Drive, Marion, NC 28752 | 2016-08-19 |
| 1417384322 | Cancer Care of Wnc, Pa | Internal Medicine | 430 Rankin Drive, Marion, NC 28752 | 2013-10-09 |
| 1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
| 1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
| 1134367345 | Duramed Equipment LLC | Durable Medical Equipment & Medical Supplies | 2024 Nix Creek Rd, Ste B, Marion, NC 28752 | 2009-01-26 |
| 1326294695 | Mcdowell Hospital | Obstetrics & Gynecology | 1633 Sugar Hill Road, Suite 1, Marion, NC 28752 | 2008-08-18 |
| 1114173382 | Adrienne Stearns Goodfred | Physical Therapist | 44 Pine Top Drive, Marion, NC 28752 | 2008-08-07 |
| Find all providers in zip 28752 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922239763 | Lisa C Anderson | Student in an Organized Health Care Education/Training Program | 30 Joanne Dr, Marion, MA 02738-1299 | 2009-07-28 |
| 1134735319 | Christian Horton | Student in an Organized Health Care Education/Training Program | 320 Executive Dr, Marion, OH 43302-6373 | 2020-09-22 |
| 1568083558 | Emily Brown | Student in an Organized Health Care Education/Training Program | 1138 Independence Ave, Marion, OH 43302-6318 | 2020-04-30 |
| 1831721950 | Sara Provenzale | Student in an Organized Health Care Education/Training Program | 320 Executive Dr, Marion, OH 43302-6373 | 2020-02-06 |
| 1790240869 | Mackenzie Poling | Student in an Organized Health Care Education/Training Program | 320 Executive Dr, Marion, OH 43302-6373 | 2019-02-04 |
| 1932634524 | Kaylee Highsmith | Student in an Organized Health Care Education/Training Program | 524 James Way, Marion, OH 43302-7801 | 2017-04-21 |
| 1902070642 | Williamson Co. Special Education District | Student in an Organized Health Care Education/Training Program | 411 S Court St, Marion, IL 62959-2711 | 2008-04-14 |
| 1841358249 | Jennifer Johnson Guthrie | Student in an Organized Health Care Education/Training Program | 304 Washington St, Marion, AL 36756-2332 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144048 | Travis Thomas Phillips | Student in an Organized Health Care Education/Training Program | 2912 Hargette Rd, Monroe, NC 28112-8142 | 2020-11-08 |
| 1487255378 | Frank Patterson Fairley Jr. | Student in an Organized Health Care Education/Training Program | 3006 Lawndale Dr Apt F, Greensboro, NC 27408-3450 | 2020-11-05 |
| 1790386829 | Rachel Myrah Wallace | Student in an Organized Health Care Education/Training Program | 185 Doby Rd, Cameron, NC 28326-8185 | 2020-11-04 |
| 1518568013 | Ashley Nicole Gwyn | Student in an Organized Health Care Education/Training Program | 2021 Frank Rd, Asheboro, NC 27205-1381 | 2020-11-03 |
| 1427659747 | Lakisha Henry-simmons | Student in an Organized Health Care Education/Training Program | 4298 Falcon Rd, Winston Salem, NC 27106-9425 | 2020-11-03 |
| 1801496377 | Meghan Emily Hileman | Student in an Organized Health Care Education/Training Program | 321 S Columbia St # 7121, Chapel Hill, NC 27514-4309 | 2020-10-26 |
| 1689273146 | Jennifer French | Student in an Organized Health Care Education/Training Program | 4818 Hickory Woods Dr, Greensboro, NC 27410-9161 | 2020-10-25 |
| 1417555863 | Jessica Gage Thomas | Student in an Organized Health Care Education/Training Program | 100 Stratford Lakes Dr Unit 221, Durham, NC 27713-3479 | 2020-10-16 |
| 1649878273 | Rachel Elizabeth Corak | Student in an Organized Health Care Education/Training Program | 7176 Blackmoor Rd, Kernersville, NC 27284-8614 | 2020-10-15 |
| 1598363541 | Walter Carl Credle Iv | Student in an Organized Health Care Education/Training Program | 825 Park Center Dr Apt 305, Matthews, NC 28105-5044 | 2020-10-13 |
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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.