Individual provider Active NPI

Deborah Kay Gossett, APN

  • Women's Health Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1295954808
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
188588 Issued in AR
Practice address
3112 S 70TH St
Fort Smith, AR 72903-5068
Phone
(479) 452-8600
Fax
(479) 452-7844
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 188588 AR Primary

Addresses

Primary practice location

3112 S 70TH St
Fort Smith, AR 72903-5068

Mailing address

1300 Pettway Cir
Greenwood, AR 72936-3729
Phone (479) 996-7269

Other identifiers 1

IdentifierTypeStateIssuer
440121701MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
188588ARMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1295954808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PETTWAY CIR",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729363729",
            "telephone_number": "479-996-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 S 70TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035068",
            "telephone_number": "479-452-8600",
            "fax_number": "479-452-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSETT",
        "first_name": "DEBORAH",
        "middle_name": "KAY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AR",
            "license": "188588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440121701",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.