1114841251 NPI number — AMBER NICOLE GESSNER M.S., ED.S., NCSP

Table of content: AMBER NICOLE GESSNER M.S., ED.S., NCSP (NPI 1114841251)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114841251 NPI number — AMBER NICOLE GESSNER M.S., ED.S., NCSP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GESSNER
Provider First Name:
AMBER
Provider Middle Name:
NICOLE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.S., ED.S., NCSP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114841251
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
746 DELLINGER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STRASBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22657-3777
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
190 MUSTANG LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22645-1722
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-869-4615
Provider Business Practice Location Address Fax Number:
540-869-5150
Provider Enumeration Date:
08/10/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TS0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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