Active NPI
Pamela S. Gabbert, CNP
- Family Nurse Practitioner
- Brandon, SD
National Provider Identifier
1063513380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0306
- Practice address
- 608 N. Yellowstone Dr.
Brandon, SD 57005-1567 - Phone
- (605) 941-5349
- NPI assigned
- Sep 26, 2006
- Last updated
- Mar 23, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0306 | SD | Primary |
| Family Nurse Practitioner | 363LF0000X | A132658 | IA |
Addresses
Primary practice location
608 N. Yellowstone Dr.
Brandon, SD 57005-1567
Mailing address
608 N. Yellowstone Dr.
Brandon, SD 57005-1567
Phone (605) 941-5349
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
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A132658 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Behavioral Healthcare | Past | Accepting new patients | |
| Southeastern Behavioral Healthcare | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1689948317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395532800000",
"number": "1063513380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 N. YELLOWSTONE DR.",
"city": "BRANDON",
"state": "SD",
"postal_code": "570051567",
"telephone_number": "605-941-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 N. YELLOWSTONE DR.",
"city": "BRANDON",
"state": "SD",
"postal_code": "570051567",
"telephone_number": "605-941-5349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABBERT",
"first_name": "PAMELA",
"middle_name": "S.",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2014-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "0306",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A132658",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.