Active NPI
Rebecca Corinne Gilbride, RN
- Community Health Registered Nurse
- Eureka, CA
National Provider Identifier
1063220242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 95292065
- Practice address
- 2200 Tydd Street Eureka, Ca 95501
Eureka, CA 95501 - Phone
- (707) 205-7913
- NPI assigned
- Dec 20, 2024
- Last updated
- Dec 20, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 95292065 | CA | Primary |
Addresses
Primary practice location
2200 Tydd Street Eureka, Ca 95501
Eureka, CA 95501
Mailing address
4678 13TH St
McKinleyville, CA 95519-9744
Phone (707) 205-7913
Other names 1
- Rebecca Corinne Gilbride
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95292065 | CA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1063220242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4678 13TH ST",
"city": "MCKINLEYVILLE",
"state": "CA",
"postal_code": "955199744",
"telephone_number": "707-205-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 TYDD STREET EUREKA, CA 95501",
"city": "EUREKA",
"state": "CA",
"postal_code": "95501",
"telephone_number": "707-205-7913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBRIDE",
"first_name": "REBECCA",
"middle_name": "CORINNE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-20",
"last_updated": "2024-12-20",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "95292065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "GILBRIDE",
"middle_name": "CORINNE",
"credential": "REBECCA GILBRIDE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.