Beverly Jo Gann, RNC,WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN 091078 Issued in MO

Practice address

2828 N National Ave
Doctors Hospital of Springfield, Specialty Clinic
Springfield, MO 65803-4306

Phone

(417) 837-4000

Fax

(417) 875-4724

NPI assigned

Sep 21, 2005

Last updated

Jun 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1003802406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 STATE HIGHWAY 176 E",
            "city": "CHESTNUTRIDGE",
            "state": "MO",
            "postal_code": "656303021",
            "telephone_number": "417-443-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 N NATIONAL AVE",
            "address_2": "DOCTORS HOSPITAL OF SPRINGFIELD, SPECIALTY CLINIC",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034306",
            "telephone_number": "417-837-4000",
            "fax_number": "417-875-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANN",
        "first_name": "BEVERLY",
        "middle_name": "JO",
        "credential": "RNC,WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "RN 091078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425443736",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00314636",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003802406",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Renee Gambill, CAA
• Dustin Gammon, DO
• Tyler Gammon, DO
• Erin Gamwell, PLPC
• Jennifer L Ganaway, MSW, LCSW
• Lea M Gannaway, LPC
• James Ganus, MD
• Carlos Alfredo Garcia Jr., PLPC, NBCC
• Gene Estrada Garcia I
• Kristin Kline Garcia, MA, LPC

• Women's Health Nurse Practitioner in Springfield, MO
• Providers in Springfield, MO by specialty
• Women's Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.