Debra Gayer, PHD, RN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

068988 Issued in MO

Practice address

2412 Forum Blvd
Suite 201
Columbia, MO 65203-6364

Phone

(573) 445-0725

Fax

(573) 445-1027

NPI assigned

Dec 31, 2013

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Registered Nurse

State licenses

Practice roles

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.

• Douglas W. Beal, MD and Associates, PC

  • Pediatrics Physician
  • Columbia, MO
  • NPI 1164530952
  NPD (past)

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1740601285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 FORUM BLVD",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036364",
            "telephone_number": "573-445-0725",
            "fax_number": "573-445-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 FORUM BLVD",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036364",
            "telephone_number": "573-445-0725",
            "fax_number": "573-445-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYER",
        "first_name": "DEBRA",
        "credential": "PHD, RN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "068988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI",
            "identifier": "068988",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Blaine Gautam, LPC
• Megan Elizabeth Gauthier, DO
• James Gavel
• Justin Arthur Gawlik
• John W Gay, MD
• Jeremy Matthew Gebhardt, PA-C
• Elizabeth A. Geden, FNP
• Kilanda Gee, LCSW
• Eric David Gegg, MD
• Ashley N Geiger, MS, LPC

• Pediatric Nurse Practitioner in Columbia, MO
• Providers in Columbia, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.