Phyllis Gabbart, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

04112574 Issued in IL

Practice address

305 S Illinois St
Belleville, IL 62220-2133

Phone

(618) 235-1703

Fax

(618) 222-5969

NPI assigned

Oct 12, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBGCAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospice of Southern Illinois, Inc.

  • Community Based Hospice Care Agency
  • Belleville, IL
  • NPI 1720081805
  NPD (past)
• Midwest Emergency Good Samaritan, Inc

  • Emergency Medicine Physician
  • Mount Vernon, IL
  • NPI 1629367578
  NPD (past)
• Oza Oncology Inc.

  • Medical Oncology Physician
  • Mount Vernon, IL
  • NPI 1053364885
  NPD (past)
• Palliative Care Consultants NFP

  • Case Management Agency
  • Belleville, IL
  • NPI 1518073840
  NPD (past)
• University Hematology Oncology Group Inc.

  • Medical Oncology Physician
  • Centralia, IL
  • NPI 1962698837
  NPD (past)
• University Hematology Oncology Inc

  • Oncology Clinic/Center
  • Centralia, IL
  • NPI 1023293776
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1396834438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S ILLINOIS ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202133",
            "telephone_number": "618-235-1703",
            "fax_number": "618-222-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S ILLINOIS ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202133",
            "telephone_number": "618-235-1703",
            "fax_number": "618-222-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBART",
        "first_name": "PHYLLIS",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "04112574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL MEDICARE",
            "identifier": "K37461",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP IL MEDICARE",
            "identifier": "0000304010",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Friedman, MD
• Antony Frierdich
• Shayna Latrice Frost, MS, CCC-SLP
• Paige Fuhrmann
• Latanya Deneen Fulton, CERTIFIED DOULA
• Christopher Patrick Gagen
• Marissa Gagliardi
• Carla Gain, PT
• Oscar Raynomd Gain Jr., P.T.
• Holly Deanne Gamroth

• Nurse Practitioner in Belleville, IL
• Providers in Belleville, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.