Ellen Ruth Gibbs, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

537772 Issued in CA

Practice address

5088 N Fresno St
Fresno, CA 93710-7611

Phone

(559) 632-3006

Fax

(209) 725-2072

NPI assigned

Jul 18, 2005

Last updated

Nov 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ellen Ruth Winger Professional name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gettysburg Medical Clinic, Inc.

  • Multi-Specialty Clinic/Center
  • Fresno, CA
  • NPI 1063519858
  Medicare reassignment NPD
• Gettysburg Medical Clinic Inc

  • Primary Care Clinic/Center
  • Atwater, CA
  • NPI 1174989594
  NPD
• Brookings Harbor Medical Center P C

  • Family Medicine Physician
  • Brookings, OR
  • NPI 1912944067
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1316946874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5088 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107611",
            "telephone_number": "559-632-3006",
            "fax_number": "209-725-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5088 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107611",
            "telephone_number": "559-632-3006",
            "fax_number": "209-725-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "ELLEN",
        "middle_name": "RUTH",
        "name_prefix": "Prof.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "537772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239700",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "WINGER",
            "middle_name": "RUTH",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Giai V Pham, DMD, Inc. (Pacific Dental Group)
• Thoa Giang
• Courtney Giannetta
• Danielle Y Giannetta
• Monica L Giannotti, CMT
• Michelle Joanne Gibbs, MBBS, MSC
• Gibson Family Therapy Inc
• Barrett Gibson, AMFT
• Barton Lewis Gibson, LCSW
• Carolyn Beth Gibson, LCSW

• Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.

Verify at the official NPI Registry.