MRS. MELISSA DE ANN GILLISPIE, RN - NPI NUMBER 1538214267

Summary

Provider Name: MRS. MELISSA DE ANN GILLISPIE, RN

NPI Number: 1538214267

Clasification: Registered Nurse (163W00000X)

Address:
512 S PRAIRIE AVE
PUEBLO, CO
ZIP 81005

Phone Number: (719) 542-3218



Detailed Information

MRS. Melissa De Ann Gillispie, RN is a registered nurse in Pueblo, CO. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.�s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. The assigned NPI number for this provider is 1538214267 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

512 S PRAIRIE AVE
PUEBLO, CO
ZIP 81005-724
Phone: (719) 542-3218

The enumeration date for this NPI number is 1/24/2007 and was last updated on 8/14/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 163W00000X Registered Nurse 109079 CO Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 07090798 MEDICAID CO

NPI Record

No. Field Name Field Value
1 NPI 1538214267
2 Entity Type Code 1
3 Provider Last Name Legal Name GILLISPIE
4 Provider First Name MELISSA
5 Provider Middle Name DE ANN
6 Provider Name Prefix Text MRS.
7 Provider Credential Text RN
8 Provider First Line Business Practice Location Address 512 S PRAIRIE AVE
9 Provider Business Practice Location Address City Name PUEBLO
10 Provider Business Practice Location Address State Name CO
11 Provider Business Practice Location Address Postal Code 810051724
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 7195423218
14 Provider Enumeration Date 1/24/2007
15 Last Update Date 8/14/2007
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 163W00000X
18 Provider License Number 1 109079
19 Provider License Number State Code 1 CO
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 07090798
22 Other Provider Identifier Type Code 1 05
23 Other Provider Identifier State 1 CO
24 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.