Active NPI
Lisa Shea Gambini, DEM
- Midwife
- Honesdale, PA
National Provider Identifier
1043450844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- Practice address
- 58 Kernwood Dr
Honesdale, PA 18431-3144 - Phone
- (570) 352-3325
- Fax
- (484) 214-0217
- NPI assigned
- Mar 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | Primary |
Addresses
Primary practice location
58 Kernwood Dr
Honesdale, PA 18431-3144
Mailing address
58 Kernwood Dr
Honesdale, PA 18431-3144
Phone (570) 352-3325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1043450844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 KERNWOOD DR",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184313144",
"telephone_number": "570-352-3325",
"fax_number": "484-214-0217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 KERNWOOD DR",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184313144",
"telephone_number": "570-352-3325",
"fax_number": "484-214-0217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBINI",
"first_name": "LISA",
"middle_name": "SHEA",
"name_prefix": "Mrs.",
"credential": "DEM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-06",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honesdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.