Active NPI
Mariane Gilbert, FNP
- Nurse Practitioner
- Eureka, CA
National Provider Identifier
1285616458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5558
- Practice address
- 2350 Buhne St
Suite a
Eureka, CA 95501-3238 - Phone
- (707) 443-4593
- Fax
- (707) 443-7752
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5558 | CA | Primary |
Addresses
Primary practice location
2350 Buhne St
Suite a
Eureka, CA 95501-3238
Mailing address
2350 Buhne St
Suite a
Eureka, CA 95501-3238
Phone (707) 443-4593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051003000201 | CA | Practitioner - Nurse Practitioner | 1759316300 | Practice locations: Eureka, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5558 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1285616458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 BUHNE ST",
"address_2": "SUITE A",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013238",
"telephone_number": "707-443-4593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 BUHNE ST",
"address_2": "SUITE A",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013238",
"telephone_number": "707-443-4593",
"fax_number": "707-443-7752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "MARIANE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "5558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.