Amy Susan Gribbin, BS, CCE, CBC, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

246594-1 Issued in NY

Practice address

4726 Wilshire LN
Oakdale, NY 11769-1450

Phone

(631) 680-2468

NPI assigned

Jan 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1154625358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 WILSHIRE LN",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691450",
            "telephone_number": "631-680-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 WILSHIRE LN",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691450",
            "telephone_number": "631-680-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIBBIN",
        "first_name": "AMY",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "BS, CCE, CBC, LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "246594-1",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine M Gierloff, OTR
• Alexa Nicole Glander, M.S., BCBA, LBA
• Vincent Glasser, LMT
• Eileen Golon
• Aimee Gosse
• Corina Guachichullca, LMT
• Gina Marie Guschel, PA-C
• Kierstan Ruth Hall, PSY.D.
• David R Hescheles, PSY.D.
• Christine K Himpler, RN

• Licensed Practical Nurse in Oakdale, NY
• Providers in Oakdale, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.