Active NPI
Thomasina Gates
- Registered Nurse
- Waynesville, MO
National Provider Identifier
1689039273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2011001990
- Practice address
- 704 W Historic RT. 66
Suite 200
Waynesville, MO 65583-2163 - Phone
- (573) 774-3121
- NPI assigned
- Dec 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2011001990 | MO | Primary |
Addresses
Primary practice location
704 W Historic RT. 66
Suite 200
Waynesville, MO 65583-2163
Mailing address
704 W Historic RT. 66
Suite 200
Waynesville, MO 65583-2163
Phone (573) 774-3121
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2011001990 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Past | Accepting new patients | |
| Compass Health, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450828800000",
"number": "1689039273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 W HISTORIC RT. 66",
"address_2": "SUITE 200",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "655832163",
"telephone_number": "573-774-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 W HISTORIC RT. 66",
"address_2": "SUITE 200",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "655832163",
"telephone_number": "573-774-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "THOMASINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-23",
"last_updated": "2015-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2011001990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waynesville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.