Andrea Gebhart, RN,CDE
Individual provider Active NPI Diabetes Educator Registered Nurse · Riverside, IL
NPI 1093022360 · NPPES record last updated Sep 8, 2010
Key facts
- NPI
- 1093022360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diabetes Educator Registered Nurse 163WD0400X
- License
- 041-155749 (IL)
- Practice address
- 3722 S. Harlem Ave.
Suite 202
Riverside, IL 60546 - Phone
- (708) 783-6980
- Fax
- (708) 783-6979
- NPI assigned
- Sep 8, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-155749 | IL | MD | Diabetes Educator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 041-155749 | IL | Yes |
Addresses
Primary practice location
3722 S. Harlem Ave.
Suite 202
Riverside, IL 60546
Mailing address
3722 S. Harlem Ave.
Suite 202
Riverside, IL 60546
Phone (708) 783-6980
Other providers in Riverside, IL
- Kori Feldman
- Samantha Fornaris
- Frank R. Orland, D.D.S. & Carla P. Orland, D.D.S., LTD.
- Angela Garcia
- Kelly Garrity
- Noemi Gil-Ruiz
- Gilbert J Lafemina DDS LTD
- Tonia Ann Gooden
- Aarti Govani
- Grace Integrated PLLC
All providers in Riverside, IL · Diabetes Educator Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.