Provider Demographics
NPI:1144849597
Name:GASKINS, BARBARA DENISE
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:DENISE
Last Name:GASKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4934 RIVER RD # 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-7535
Mailing Address - Country:US
Mailing Address - Phone:252-402-6445
Mailing Address - Fax:
Practice Address - Street 1:719 W 15TH ST STE 727
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-3667
Practice Address - Country:US
Practice Address - Phone:252-495-3173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator