Brenda Gullion

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27032137A Issued in IN

Practice address

816 Rudolph Way
Greendale, IN 47025-8312

Phone

(812) 537-1668

NPI assigned

Aug 23, 2016

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

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.

• East Indiana Comprehensive Treatment Center

  • Community/Behavioral Health Agency
  • Greendale, IN
  • NPI 1780055053
  NPD (past)
• East Indiana Treatment Center, LLC

  • Methadone Clinic
  • Greendale, IN
  • NPI 1013060714
  NPD (past)

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1780139477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 RUDOLPH WAY",
            "city": "GREENDALE",
            "state": "IN",
            "postal_code": "470258312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 RUDOLPH WAY",
            "city": "GREENDALE",
            "state": "IN",
            "postal_code": "470258312",
            "telephone_number": "812-537-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLION",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27032137A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Gibbs, RPH.
• Aleah Pendergraff Gibson, M.D.
• Kylie Goodall, MSW, LCSW
• Greendale Emergency Rescue, Inc.
• Eugene Groysman, MD
• James Hahn, M.D.
• Kayla Mae Hayes, CAPRC2
• Katrina Hegde
• Jalean Louise Heikenfeld, APRN
• Patrick Herron, LMFT

• All providers in Greendale, IN
• Licensed Practical Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.