Individual provider Active NPI

Hunterland Ganier, RN

  • Registered Nurse
  • Poplar Bluff, MO
National Provider Identifier
1396181855
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN248216 Issued in NC
Practice address
1500 N. Westwood Blvd
John J. Pershing Vamc
Poplar Bluff, MO 63901
Phone
(573) 778-4292
Fax
(573) 778-4299
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN248216 NC Primary

Addresses

Primary practice location

1500 N. Westwood Blvd
John J. Pershing Vamc
Poplar Bluff, MO 63901

Mailing address

PO Box 1265
208 E. Bridgers Street
Burgaw, NC 28425-1265
Phone (910) 520-7885

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN248216NCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1396181855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1265",
            "address_2": "208 E. BRIDGERS STREET",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284251265",
            "telephone_number": "910-520-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N. WESTWOOD BLVD",
            "address_2": "JOHN J. PERSHING VAMC",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901",
            "telephone_number": "573-778-4292",
            "fax_number": "573-778-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANIER",
        "first_name": "HUNTERLAND",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "RN248216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.