Individual provider Active NPI

Wrennah L Gabbert, R.N,. C.PNP, F.N.P-C

  • Pediatric Nurse Practitioner
  • San Angelo, TX
National Provider Identifier
1275521874
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
232036 Issued in TX
Practice address
2478 A and M Ave
San Angelo, TX 76904-5815
Phone
(325) 223-9368
Fax
(325) 942-2236
NPI assigned
Oct 9, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 232036 TX
Pediatric Nurse Practitioner 363LP0200X 232036 TX Primary

Addresses

Primary practice location

2478 A and M Ave
San Angelo, TX 76904-5815

Mailing address

2478 A and M Ave
San Angelo, TX 76904-5815
Phone (325) 223-9368

Other identifiers 1

IdentifierTypeStateIssuer
FNP010625MedicaidTX

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
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
232036TXMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1128816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275521874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2478 A AND M AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045815",
            "telephone_number": "325-223-9368",
            "fax_number": "325-942-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 A AND M AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045815",
            "telephone_number": "325-223-9368",
            "fax_number": "325-942-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBERT",
        "first_name": "WRENNAH",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "R.N,. C.PNP, F.N.P-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "232036",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "232036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FNP010625",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.