Individual provider Active NPI

Sheryl Ann Gambardella, NP

  • Women's Health Nurse Practitioner
  • Tucumcari, NM
National Provider Identifier
1255518817
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
CNP-01374 Issued in NM
Practice address
309 E Washington Ave
Tucumcari, NM 88401-3873
Phone
(575) 461-7901
Fax
(575) 461-8728
NPI assigned
Jan 25, 2008
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X CNP-01374 NM Primary

Addresses

Primary practice location

309 E Washington Ave
Tucumcari, NM 88401-3873

Mailing address

309 E Washington Ave
Tucumcari, NM 88401-3873
Phone (575) 461-7901

Other practice location 1

117 Camino De Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 461-8631

Other practice location 2

220 S 3rd St
Tucumcari, NM 88401-2802
Phone (575) 461-8631

Other identifiers 1

IdentifierTypeStateIssuer
81538570MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address linda.sims@crossarrowmedical.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-01374NMMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255518817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E WASHINGTON AVE",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013873",
            "telephone_number": "575-461-7901",
            "fax_number": "575-461-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E WASHINGTON AVE",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013873",
            "telephone_number": "575-461-7901",
            "fax_number": "575-461-8728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Camino De Vida Ste 300",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "NM",
            "postal_code": "884352267",
            "country_code": "US",
            "telephone_number": "575-461-8631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Tucumcari",
            "state": "NM",
            "postal_code": "884012802",
            "country_code": "US",
            "telephone_number": "575-461-8631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBARDELLA",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NM",
            "license": "CNP-01374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81538570",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "linda.sims@crossarrowmedical.com",
            "affiliation": "Y",
            "endpointDescription": "Primary Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "309 E Washington Ave",
            "city": "Tucumcari",
            "state": "NM",
            "country_code": "US",
            "postal_code": "884013873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucumcari, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.