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EYDIE GASS
NPI 1699409060
Licensed Practical Nurse in Centralia, IL

Active since July 12, 2022
904 M L KING DR, CENTRALIA, IL 62801(618) 533-1391 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eydie Gass NPPES

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

EYDIE GASS (NPI 1699409060) is an individual licensed practical nurse in Centralia, Illinois, licensed in Illinois (043.088069) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1699409060
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameEYDIE GASS
Location Address904 M L KING DRCentralia, IL 62801-3058
Mailing Address904 M L King DrCentralia, IL 62801-3058 · (618) 533-1391
Phone(618) 533-1391
Sole ProprietorNo
Enumeration DateJuly 12, 2022
NPPES CertifiedJuly 12, 2022
✔ NPI 1699409060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043.088069
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
904 M L KING DR, Centralia, IL 62801
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Other Identifiers 1

Medicaid370915481007IL

Other Providers at the Same Location NPPES 20

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

ANDREA SLATER
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
STEFFANY SLININGER
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
ASPIN WALTA
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
MRS. CARLIE MICHELLE KASTEN
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
XZAVIER DENTON
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
BROOKE DUNN
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
DAKOTA HUNTER
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
MALLORY OWENS MSW
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391

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 Eydie Gass's NPI number?

The NPI number for Eydie Gass is 1699409060. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Eydie Gass located?

Eydie Gass practices at 904 M L King Dr, Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Eydie Gass's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Eydie Gass was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.