Active NPI
Sheryl Ann Gambardella, NP
- Women's Health Nurse Practitioner
- Tucumcari, NM
National Provider Identifier
1255518817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- CNP-01374
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81538570 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-01374 | NM | MD | Women'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.