Jacqueline L Gillespie, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

45906 Issued in OK

Practice address

2502 W Elk Ave
Duncan, OK 73533-1562

Phone

(580) 252-9600

Fax

(580) 252-6100

NPI assigned

Sep 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1346235488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-312-7605",
            "fax_number": "605-312-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 W ELK AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331562",
            "telephone_number": "580-252-9600",
            "fax_number": "580-252-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "JACQUELINE",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OK",
            "license": "R0045906",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "45906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113640A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOONERCARE CHOICE-LAWTON",
            "identifier": "100113640B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Davis, DDS, Inc PC
• Jordan Gibbon, DPM
• Angela Lynn Gibbons, PHYSICIAN ASSISTANT
• Gilbreth Family Medicine, PLLC
• Judith Marie Gilbreth, M.D.
• Gillispie Counseling Services
• Gillispie Family Ministries
• Allon Gillispie, DO
• Linda Gillispie, LPC
• Steven Allon Gillispie

• Pediatric Nurse Practitioner in Duncan, OK
• Providers in Duncan, OK by specialty
• Pediatric Nurse Practitioner in Oklahoma

• 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.