GUMTREE MENTAL HEALTH & WELLNESS
NPI 1023844909
Nurse Practitioner - Psychiatric/Mental Health in Swansea, IL

NPI Status: Active since September 09, 2024

Contact Information

520 FULLERTON RD STE B
SWANSEA, IL
ZIP 62226
Phone: (618) 277-0006

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About GUMTREE MENTAL HEALTH & WELLNESS

This page provides the complete NPI Profile along with additional information for Gumtree Mental Health & Wellness, a provider established in Swansea, Illinois operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1023844909 assigned on September 2024. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kyria A Buchanan Pmhnp-bc, Aprn (Nurse Practitioner)

NPI
1023844909
Provider Name
GUMTREE MENTAL HEALTH & WELLNESS
Entity Type
Organization
Location Address
520 FULLERTON RD STE B SWANSEA, IL 62226
Location Phone
(618) 277-0006
Mailing Address
405 N LINCOLN AVE O FALLON, IL 62269
Mailing Phone
(813) 838-2707
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-09-2024
Last Update Date
09-09-2024
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A nurse practitioner (NP) like Gumtree Mental Health & Wellness is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KYRIA A BUCHANAN PMHNP-BC, APRN

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(813) 838-2707

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023844909
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043164890
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 6 + 4 + 8 + 9 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1023844909 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932575107LORI A. LEHR, MS, LCPC
Organization
Counselor (Mental Health)520 FULLERTON RD STE B
SWANSEA, IL 62226
(618) 277-5300
1609464213 TREMIKA BURCHETT LCPC
Individual
Counselor (Professional)520 FULLERTON RD STE B
SWANSEA, IL 62226
(618) 277-5300
1184605834 JENNIFER MICHELLE SCHENCK PMHNP, RN
Individual
Nurse Practitioner (Psychiatric/Mental Health)520 FULLERTON RD STE B
SWANSEA, IL 62226
(618) 688-2459

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023844909, enumerated in the NPI registry as an "organization" on September 09, 2024

The provider is located at 520 Fullerton Rd Ste B Swansea, Il 62226 and the phone number is (618) 277-0006

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on September 09, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.