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FLOYD RANDEL GUMMERSALL RN
NPI 1699517896
Student in an Organized Health Care Education/Training Program in Bisbee, AZ

Active since June 10, 2024
400 HEADSTART WAY, BISBEE, AZ 85603(307) 371-4843(307) 371-4843 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Floyd Randel Gummersall Rn NPPES

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

FLOYD RANDEL GUMMERSALL RN (NPI 1699517896) is an individual student in an organized health care education/training program in Bisbee, Arizona and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1699517896
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFLOYD RANDEL GUMMERSALLCredential: RN
Location Address400 HEADSTART WAYBisbee, AZ 85603-9764
Mailing Address400 Headstart WayBisbee, AZ 85603-9764 · (307) 371-4843 · Fax (307) 371-4843
Phone(307) 371-4843
Fax(307) 371-4843
Sole ProprietorNo
Enumeration DateJune 10, 2024
NPPES CertifiedJune 9, 2024
✔ NPI 1699517896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
400 HEADSTART WAY, Bisbee, AZ 85603
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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 Floyd Gummersall's NPI number?

The NPI number for Floyd Gummersall is 1699517896. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Floyd Gummersall located?

Floyd Gummersall practices at 400 Headstart Way, Bisbee, AZ 85603. The listed phone number is (307) 371-4843.

What is Floyd Gummersall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Floyd Gummersall was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.