Active NPI
Gloria Funbi Igboin, MSN, RN, FNP, PMH-BC
- Nurse Practitioner
- Mount Vernon, IL
National Provider Identifier
1417517285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11002204
- Practice address
- 4000 S Water Tower PL
Mount Vernon, IL 62864-2349 - Phone
- (618) 246-2910
- NPI assigned
- Jun 14, 2019
- 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 | 11002204 | FL | Primary |
Addresses
Primary practice location
4000 S Water Tower PL
Mount Vernon, IL 62864-2349
Mailing address
4001 S Water Tower PL Apt 234
Mount Vernon, IL 62864-6593
Phone (727) 424-8784
Other names 1
- Miss Gloria Funbi Toyinbo
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11002204 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1417517285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 S WATER TOWER PL APT 234",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628646593",
"telephone_number": "727-424-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 S WATER TOWER PL",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642349",
"telephone_number": "618-246-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGBOIN",
"first_name": "GLORIA",
"middle_name": "FUNBI",
"name_prefix": "Mrs.",
"credential": "MSN, RN, FNP, PMH-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11002204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GLORIA",
"last_name": "TOYINBO",
"middle_name": "FUNBI",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mount Vernon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.