Sally Lynn Gaines, MSN, RN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

658141 Issued in TX

Practice address

West Texas a & M University
Old Main, Room 308-a
Canyon, TX 79016-0001

Phone

(806) 651-2648

Fax

(806) 651-2632

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By the provider in NPPES

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

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1790971224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WEST TEXAS A & M UNIVERSITY",
            "address_2": "OLD MAIN, ROOM 308-A",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790160001",
            "telephone_number": "806-651-2648",
            "fax_number": "806-651-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST TEXAS A & M UNIVERSITY",
            "address_2": "OLD MAIN, ROOM 308-A",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790160001",
            "telephone_number": "806-651-2648",
            "fax_number": "806-651-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "SALLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "658141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot Clinic of the High Plains PLLC
• Ashton Foster, SLP
• Traci B Fredman, MS,CCC-SLP
• Reagan Frye, DR.
• Full Smile Dental Dumas, PLLC (Full Smile Dental)
• Janet Garcia, EDD, LPC
• Carson Gerber, MA, LPC
• James Edward Gibbs, M.D.
• Cassie Goen, MS, CCC-SLP
• Lauretta Beatrice Gordzelik, PHARM. D.

• Student in an Organized Health Care Education/Training Program in Canyon, TX
• Providers in Canyon, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.