Jessica Gubernath, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

312163 Issued in TX

Practice address

4345 Cunningham Dr
Wichita Falls, TX 76308-2609

Phone

(940) 867-3309

NPI assigned

Feb 12, 2020

Last updated

Feb 12, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1447882923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 8TH ST STE 100",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016818",
            "telephone_number": "940-761-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 CUNNINGHAM DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082609",
            "telephone_number": "940-867-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBERNATH",
        "first_name": "JESSICA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "312163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Grimes, NP-C
• Lacey N Grimes, M.A., LPC-ASSOCIATE
• Jedidiah Grisel, MD
• Mileasha Lyn Grogan
• Franklin Gualtier
• Krystel Marie Gubernath, LVN
• Candacie Brahn Guerreiro, PTA
• Richard Carr Guess, D.D.S.
• Cari Guidry, D.C.
• Timothy Andrew Guitard, RXM

• Licensed Vocational Nurse in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.