MISSOURI GATEWAY HEALTH, LLC
NPI 1073052114
Nurse Practitioner in Glen Allen, VA

Q: What is Missouri Gateway Health, LLC's NPI number?

The NPI number for Missouri Gateway Health, LLC is 1073052114. It was assigned to this organization in the NPPES registry on February 22, 2017.

Q: What is Missouri Gateway Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since February 22, 2017

10900 NUCKOLS RD, STE 110, GLEN ALLEN, VA 23060(804) 396-6412(804) 482-2756 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Missouri Gateway Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSOURI GATEWAY HEALTH, LLC (NPI 1073052114) is a healthcare organization registered as a nurse practitioner in Glen Allen, Virginia and active in the NPI registry since February 2017. The organization lists Kenneth Bratton, Coo, as its authorized official.

NPPES Registry Identity

NPI1073052114

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMISSOURI GATEWAY HEALTH, LLC

Location Address10900 NUCKOLS RD, STE 110Glen Allen, VA 23060-9276

Mailing Address10900 Nuckols Rd, Suite 110Glen Allen, VA 23060-9276 · (804) 396-6412 · Fax (804) 482-2756

Phone(804) 396-6412

Fax(804) 482-2756

Organization SubpartYesParent: Allyalign Health, Inc

Authorized OfficialKenneth BrattonCoo · (804) 396-6412

Enumeration DateFebruary 22, 2017

✔ NPI 1073052114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedPhysician AssistantTaxonomy 363A00000X

10900 NUCKOLS RD, Glen Allen, VA 23060

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLYALIGN HEALTH, INC.

Nurse Practitioner

10900 NUCKOLS RD, SUITE 110
GLEN ALLEN, VA 23060

Henrico County (804) 747-0720

VIRGINIA LONG-TERM CARE COALITION

Registered Nurse

10900 NUCKOLS RD, SUITE 110
GLEN ALLEN, VA 23060

Henrico County (404) 822-5378

PALMETTO LONG-TERM CARE COALITION

Nurse Practitioner

10900 NUCKOLS RD, SUITE 110
GLEN ALLEN, VA 23060

Henrico County (404) 822-5378

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Missouri Gateway Health, LLC's NPI number?

The NPI number for Missouri Gateway Health, LLC is 1073052114. It was assigned to this organization in the NPPES registry on February 22, 2017.

Where is Missouri Gateway Health, LLC located?

Missouri Gateway Health, LLC is located at 10900 Nuckols Rd Ste 110, Glen Allen, VA 23060. The listed phone number is (804) 396-6412.

What is Missouri Gateway Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Missouri Gateway Health, LLC was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.