Individual provider Active NPI

Barbara Sue Gershenson, RN, CRNFA

  • Registered Nurse First Assistant
  • Panama City, FL
National Provider Identifier
1689963308
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN1972192 Issued in FL
Practice address
2951 Woodcrest Dr
Panama City, FL 32405-2034
Phone
(850) 866-5651
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN1972192 FL Primary

Addresses

Primary practice location

2951 Woodcrest Dr
Panama City, FL 32405-2034

Mailing address

2951 Woodcrest Dr
Panama City, FL 32405-2034
Phone (850) 866-5651

Other names 1

  • Barbara Sue Agge Professional name

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
RN1972192FLMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1689963308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 WOODCREST DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052034",
            "telephone_number": "850-866-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 WOODCREST DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052034",
            "telephone_number": "850-866-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHENSON",
        "first_name": "BARBARA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RN, CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN1972192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "AGGE",
            "middle_name": "SUE",
            "credential": "RN, CRNFA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.