1669910337 NPI number — MRS. KATHERINE BELL GILBERT FNP

Table of content: MRS. KATHERINE BELL GILBERT FNP (NPI 1669910337)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669910337 NPI number — MRS. KATHERINE BELL GILBERT FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GILBERT
Provider First Name:
KATHERINE
Provider Middle Name:
BELL
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
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:
1669910337
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/09/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1406 TUSCULUM BLVD
Provider Second Line Business Mailing Address:
SUITE 1200A
Provider Business Mailing Address City Name:
GREENEVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37745-4332
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-783-5520
Provider Business Mailing Address Fax Number:
423-783-5521

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1406 TUSCULUM BLVD STE 1200
Provider Second Line Business Practice Location Address:
SUITE 1200A
Provider Business Practice Location Address City Name:
GREENEVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37745-4341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-783-5520
Provider Business Practice Location Address Fax Number:
423-783-5521
Provider Enumeration Date:
02/02/2017

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: 363LP2300X , with the licence number:  22203 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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