Wambui Prouty

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

24077 State Highway 49
Nevada City, CA 95959-8519

Phone

(530) 265-9057

NPI assigned

Apr 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Wambui Gatheru Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wambui.prouty.p1@direct.snahc.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sacramento Native American Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1588756530
  Medicare reassignment NPD
• Wellspace Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1124112933
  Medicare reassignment NPD
• Wellspace Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1114682689
  NPD
• Wellspace Health

  • Federally Qualified Health Center (FQHC)
  • North Highlands, CA
  • NPI 1326175100
  NPD

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431129600000",
    "number": "1245473099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 U ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958181819",
            "telephone_number": "916-893-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24077 STATE HIGHWAY 49",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598519",
            "telephone_number": "530-265-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUTY",
        "first_name": "WAMBUI",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2015-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAMBUI",
            "last_name": "GATHERU",
            "prefix": "MISS",
            "credential": "ASW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Owen William Poulson, D.D.S.
• James Michael Powers, CAS INTERN
• Nick Priestley
• Private Healthcare Facilities
• Brady Arthur Prout
• Ugo Punteri
• Julie Quillen
• Jeanne Renee Racik
• Tunisia Rader
• Joan Mary Ramsey, LCSW MFT

• Clinical Social Worker in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2015; 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.