Ana Gabriela Bourne, R.N.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F421132-1 Issued in NY

Practice address

305 7TH Ave FL 10
New York, NY 10001-6146

Phone

(212) 982-8383

Fax

(646) 755-8316

NPI assigned

Mar 21, 2013

Last updated

Mar 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Gabriela Bourne Other name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

City of New York Office of Payroll AdministrationGroup PAC ID 9739172644, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• City of New York Office of Payroll Administration

  • State or Local Public Health Clinic/Center
  • Jackson Heights, NY
  • NPI 1942257035
  Medicare reassignment Care Compare group NPD
• City of New York Office of Payroll Administration

  • State or Local Public Health Clinic/Center
  • New York, NY
  • NPI 1588608681
  NPD
• City of New York Office of Payroll Administration

  dba NYC DOHMH Crown Heights HC

  • State or Local Public Health Clinic/Center
  • Brooklyn, NY
  • NPI 1679501647
  NPD (past)
• City of New York Office of Payroll Administration

  dba NYCDOHMH Bushwick District

  • Community Health Clinic/Center
  • Brooklyn, NY
  • NPI 1912953035
  NPD (past)
• City of New York Office of Payroll Administration

  dba New York City Dept of Health & Mental Hygiene Fort Green District Heal

  • State or Local Public Health Clinic/Center
  • Brooklyn, NY
  • NPI 1982624276
  NPD (past)

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1154663797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 FLATBUSH AVENUE EXT",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013001",
            "telephone_number": "718-522-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 7TH AVE FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016146",
            "telephone_number": "212-982-8383",
            "fax_number": "646-755-8316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Flatbush Avenue Ext",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112013001",
            "country_code": "US",
            "telephone_number": "718-522-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "ANA GABRIELA",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "657829-1",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421132-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELA",
            "last_name": "BOURNE",
            "credential": "R.N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura Bourhana
• Vasileios Bouris, MD, MSC
• Wilson Bourjolly, MD
• Ariel Bourla, MD, PHD
• Alexandra P Bourlas, DO
• Isadora Caroline Comens Bourne
• Nancy Anne Bourque, LCSW
• Brian Charles Boursiquot, MD
• Jeffrey Boursiquot
• Maty Boury, MD

• Women's Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.