Jane Wanjiru Gathura, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

LG-0001065 Issued in DE

Practice address

1601 Milltown Rd Ste 2
Wilmington, DE 19808-4047

Phone

(302) 543-6165

Fax

(302) 543-6130

NPI assigned

Sep 26, 2017

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

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1174032775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 E PEMBROOKE DR",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199774002",
            "telephone_number": "302-480-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD STE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084047",
            "telephone_number": "302-543-6165",
            "fax_number": "302-543-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATHURA",
        "first_name": "JANE",
        "middle_name": "WANJIRU",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DE",
            "license": "LG-0001065",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0001065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary D. Safian D.D.S.,P.a.
• Christine Kyle Gasparo, PA-C
• Lauren Gastall, PT, DPT
• Alyson Gates, L.C.S.W
• Gateway Lab School
• Angela T. Gatta, LCSW
• Gaudenzia Inc
• Gaudenzia, Inc.
• Melissa Christine Gaul, LMT
• Justin Gause

• All providers in Wilmington, DE
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.