MRS. GWENDOLYN K. HERNDON (NPI# 1891855623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891855623 |
| Entity Type | Individual |
| Full Name | MRS. GWENDOLYN K. HERNDON |
| Credential | C.R.N.P. |
| Practice Address |
400 Hospital Rd Starkville MS 39759-2163 |
| Practice Telephone | 6626152503 |
| Practice Fax Number | 6626152554 |
| Mailing Telephone | 6626152503 |
| Mailing Fax Number | 6626152554 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R643653 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00112980 | 05 |
| Street Address |
400 HOSPITAL RD |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310514 | Oktibbeha County Hospital | General Acute Care Hospital | 400 Hospital Rd, Starkville, MS 39759-2163 | 2005-10-18 |
| 1053952945 | Benjamin Tucker | Pharmacist | 400 Hospital Rd, Starkville, MS 39759-2163 | 2019-10-02 |
| 1477010668 | Amanda Wilkins Misso | Registered Nurse | 400 Hospital Rd, Starkville, MS 39759-2163 | 2019-02-25 |
| 1023581857 | Jana Louann Peterson | Nurse Practitioner | 400 Hospital Rd, Starkville, MS 39759-2163 | 2019-01-03 |
| 1487165387 | William Nicholas Pennington | Nurse Practitioner | 400 Hospital Rd, Starkville, MS 39759 | 2017-10-18 |
| 1871003988 | Stephanie Olantha Hubbard | Nurse Practitioner | 400 Hospital Rd, Starkville, MS 39759-2163 | 2017-10-03 |
| 1043735806 | Janet Myers | Hospitalist | 400 Hospital Rd, Starkville, MS 39759-2163 | 2017-08-13 |
| 1174980478 | Aisha Renea Outlaw | Nurse Practitioner | 400 Hospital Rd, Starkville, MS 39759-2163 | 2016-01-19 |
| 1376908756 | Laurel Jones | Speech-Language Pathologist | 400 Hospital Rd, Starkville, MS 39759-2163 | 2015-12-29 |
| 1083927495 | Edward C. High | Respiratory Therapist, Registered | 400 Hospital Rd, Starkville, MS 39759-2163 | 2010-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
| 1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
| 1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
| 1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
| Find all providers in zip 39759 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285910653 | Melinda Lee Clark | Nurse Practitioner | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450358 | Sara Leanne Davis | Nurse Practitioner | 230 Possum Ridge Rd, Hollandale, MS 38748-3755 | 2020-09-06 |
| 1598385130 | Christy Busby | Nurse Practitioner | 128 Warren St, Pontotoc, MS 38863-1519 | 2020-04-23 |
| 1104459742 | Amanda Paige Michael | Nurse Practitioner | 200 Quail Run, Booneville, MS 38829-9001 | 2020-02-21 |
| 1891328340 | U Matter LLC | Nurse Practitioner | 2440 N Hills St Ste 126, Meridian, MS 39305-2634 | 2020-02-12 |
| 1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
| 1447893888 | Spectrum The Other Clinic | Nurse Practitioner | 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 | 2019-10-17 |
| 1053962068 | Lauren Lanier Guthrie | Nurse Practitioner | 102 Friars Cv, Clinton, MS 39056-3411 | 2019-09-23 |
| 1588212229 | David Buckheister | Nurse Practitioner | 612 Liz Cir, Gulfport, MS 39503-3712 | 2019-08-27 |
| 1821583196 | Amanda Houston Trent | Nurse Practitioner | 4381 S Eason Blvd Ste 203, Tupelo, MS 38801-6557 | 2018-06-28 |
| 1093224446 | Jennifer Hurley | Nurse Practitioner | 2809n Denny Ave, Pascagoula, MS 39581-5301 | 2017-09-28 |
| Find all providers with the same taxonomy | ||||
| City | STARKVILLE |
| Zip Code | 39759 |
Please comment or provide details below to improve the information on MRS. GWENDOLYN K. HERNDON.
| 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.