Individual provider Active NPI

Geoffrey Gatambia

  • Registered Nurse
  • Arnold, MD
National Provider Identifier
1265042865
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R203559 Issued in MD
Practice address
394 College Manor CT
Arnold, MD 21012-1822
Phone
(301) 802-8794
NPI assigned
Aug 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R203559 MD Primary

Addresses

Primary practice location

394 College Manor CT
Arnold, MD 21012-1822

Mailing address

394 College Manor CT
Arnold, MD 21012-1822
Phone (301) 802-8794

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R203559MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Home Healthcare Services Registered Nurse CurrentSince Aug 9, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1265042865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 COLLEGE MANOR CT",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121822",
            "telephone_number": "301-802-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 COLLEGE MANOR CT",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121822",
            "telephone_number": "301-802-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATAMBIA",
        "first_name": "GEOFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R203559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.