Destini Blanche Gonyon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

76069 Issued in TN

Practice address

2891 Knob Creek Rd
Columbia, TN 38401-1437

Phone

(931) 797-8744

NPI assigned

Aug 27, 2013

Sex

Female

Sole proprietor

Yes

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": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1720412752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 KNOB CREEK RD",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384011437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 KNOB CREEK RD",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384011437",
            "telephone_number": "931-797-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONYON",
        "first_name": "DESTINI",
        "middle_name": "BLANCHE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "76069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Glass, PHARM.D.
• Emily Elliott Glenn
• Stacey Goats
• Brenda Gail Goff
• Deborah L Goldsmith, MD
• Alexander R Goodman, D.M.D
• Nolan L Goodman, B.S.
• Ann Renee Goranson, DPM
• Annie Martin Gordon, AU.D.
• Timothy E Gordon, M.D.

• Licensed Practical Nurse in Columbia, TN
• Providers in Columbia, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.