NPIMap

Individual provider Active NPI

Brittany Gubinski, PA-C

  • Physician Assistant
  • Springfield, VT
National Provider Identifier
1144870122
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
100 River St
Springfield, VT 05156-2930
Phone
(802) 886-8900
NPI assigned
Sep 12, 2019
Last updated
Sep 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

100 River St
Springfield, VT 05156-2930

Mailing address

357 W Oreilly St
Kingston, NY 12401-5709
Phone (845) 416-8566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191206001533 VT Practitioner - Physician Assistant 6608209580 Reassigns benefits to 1 organization
I20221110000513 NY Practitioner - Physician Assistant 6608209580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

2827 US Route 9
Valatie, NY 12184-0785
Phone (518) 828-8051

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
028562NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital CurrentSince Dec 1, 2022 Accepting new patients
Columbia Memorial Hospital CurrentSince Dec 1, 2022 Accepting new patients
Springfield Medical Care Systems Inc CurrentSince Nov 11, 2019 Accepting new patients
Springfield Medical Care Systems Inc. CurrentSince Nov 11, 2019 Accepting new patients
Columbia Memorial Hospital Past Accepting new patients

Locations

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

71 Prospect Ave
Ste 110
Hudson, NY 12534
Phone (518) 828-1400

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292

100 River St
Springfield, VT 05156
Phone (802) 886-8900

Interoperability endpoints

  • Direct secure messaging: bgubinski98537@albanymed.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1144870122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 W OREILLY ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015709",
            "telephone_number": "845-416-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562930",
            "telephone_number": "802-886-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBINSKI",
        "first_name": "BRITTANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VT

Sources for this page

Verify at the official NPI Registry.