BEVERLY JO GANN RNC,WHNP NPI 1003802406

Nurse Practitioner (Women's Health) in Springfield, MO

Individual Female Nurse Practitioner Women's Health

About BEVERLY GANN

Beverly Gann is a provider established in Springfield, Missouri and her medical specialization is nurse practitioner. The NPI number of Beverly Gann is 1003802406 and was assigned on September 2005. The practitioner's primary taxonomy code is 363LW0102X with license number RN 091078 (MO). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI

1003802406

Provider Name BEVERLY JO GANN RNC,WHNP
Provider Location Address2828 N NATIONAL AVE DOCTORS HOSPITAL OF SPRINGFIELD, SPECIALTY CLINIC SPRINGFIELD, MO 65803
Provider Mailing Address4360 STATE HIGHWAY 176 E CHESTNUTRIDGE, MO 65630
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-21-2005
Last Update Date06-16-2011

Primary Taxonomy

Taxonomy Code363LW0102X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationWomen's Health
License No.RN 091078
License StateMO

Business Address

BEVERLY JO GANN RNC,WHNP
2828 N NATIONAL AVE
DOCTORS HOSPITAL OF SPRINGFIELD, SPECIALTY CLINIC
SPRINGFIELD, MO
ZIP 65803
Phone: (417) 837-4000
Fax: (417) 875-4724

Get Directions

Mailing Address

BEVERLY JO GANN RNC,WHNP
4360 STATE HIGHWAY 176 E
CHESTNUTRIDGE, MO
ZIP 65630
Phone: (417) 443-0039

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
P00314636OTHER (01)
425443736MEDICAID (05)MO
P46252MEDICARE UPIN (02)MO
1003802406MEDICAID (05)MO
MA1327039MEDICARE PIN (08)MO
824970115MEDICARE PIN (08)MO

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023455714 LAURA D CLARK FNP
Individual
Nurse Practitioner (Family)2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
(417) 837-4000
1043683659DR. ARTHUR KARL MCFARLAND III PHARM.D.
Individual
Pharmacist2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
(417) 875-4672
1053570903 BRAD W JONES DPM
Individual
Podiatrist (Foot & Ankle Surgery)2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
(417) 837-4000
1073675948DR. ANDY J. WRIGHT MD
Individual
Obstetrics & Gynecology2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
(417) 837-4000
1104192749CENTRAL CARE, PA
Organization
Specialist2828 N NATIONAL AVE SUITE A
SPRINGFIELD, MO 65803
(417) 875-4600
1194721100DR. BRENDON DELPORT DO
Individual
Ophthalmology2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
(417) 837-4003
1205010022 RACHAEL JOAN WINSTON MD
Individual
Family Medicine2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
(417) 837-4000
1205934403 STEVEN W BEARDEN LPC
Individual
Counselor2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
(417) 837-4000
1285692772KESTER RADIOLOGY, LLC
Organization
Radiology (Diagnostic Radiology)2828 N NATIONAL AVE DEPT. OF RADIOLOGY
SPRINGFIELD, MO 65803
(417) 837-4240
1346283322DR. MICHAEL DRIVER M.D.
Individual
Anesthesiology2828 N NATIONAL AVE OZARKS COMMUNITY HOSPITAL
SPRINGFIELD, MO 65803
(417) 335-7000
1366486300 KIMBER L TURNER FNP
Individual
Nurse Practitioner (Family)2828 N NATIONAL AVE SUITE K
SPRINGFIELD, MO 65803
(417) 875-4600
1417944018 STEVEN K CHERRY DO
Individual
Family Medicine2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
(417) 837-4175
1497713317DR. DORINDA LEE M.D.
Individual
Family Medicine2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
(417) 837-4000
1568486850 MARK ROSS SMITH MD
Individual
Emergency Medicine2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
(417) 837-4000
1750414868NEIL NATHAN MD PC
Organization
Family Medicine2828 N NATIONAL AVE SUITE D
SPRINGFIELD, MO 65803
(417) 869-7583
1801883475 ROBERT DAVID CROCKETT FNP
Individual
Nurse Practitioner (Family)2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
(417) 837-4000
1821201641SPRINGFIELD EYE & PLASTIC SURGERY
Organization
Ophthalmology2828 N NATIONAL AVE SUITE E
SPRINGFIELD, MO 65803
(417) 837-4238
1962540211 SARA ANN NEAL
Individual
Psychologist2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
(417) 837-4000
1982744983SGOH ACQUISITION INC
Organization
Psychiatric Unit2828 N NATIONAL AVE
SPRINGFIELD, MO 65803
(417) 837-4000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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