Active NPI
Erik Gumbs
- Nurse Practitioner
- Dover, DE
National Provider Identifier
1427693415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LP-0000324
- Practice address
- 805 River Rd
Dover, DE 19901-3753 - Phone
- (303) 857-5060
- Fax
- (302) 857-5061
- NPI assigned
- Nov 13, 2019
- Last updated
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- No
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 | LP-0000324 | DE | Primary |
Addresses
Primary practice location
805 River Rd
Dover, DE 19901-3753
Mailing address
11 Blackbird CT
Newark, DE 19702-8633
Phone (302) 229-2976
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LP-0000324 | Other | DE | STATE OF DELAWARE LICENSE |
| AG05190078 | Other | THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS |
Other names 1
- Erique Gumbs
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erique.gumbs@delaware.gov | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP-0000324 | DE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Health Equity Coalition | Current | Accepting new patients | |
| Concord Medical Inc. | Current | Accepting new patients |
Locations
2100 Baynard Blvd
Ste A
Wilmington, DE 19802
Phone (302) 394-6060
Organizations & group practices 2
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.
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- Wilmington, DE
- NPI 1043935307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1427693415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BLACKBIRD CT",
"city": "NEWARK",
"state": "DE",
"postal_code": "197028633",
"telephone_number": "302-229-2976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 RIVER RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199013753",
"telephone_number": "303-857-5060",
"fax_number": "302-857-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMBS",
"first_name": "ERIK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-13",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LP-0000324",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF DELAWARE LICENSE",
"identifier": "LP-0000324",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS",
"identifier": "AG05190078",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erique.gumbs@delaware.gov",
"affiliation": "Y",
"endpointDescription": "Starte email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "805 River Rd",
"city": "Dover",
"state": "DE",
"country_code": "US",
"postal_code": "199013753",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ERIQUE",
"last_name": "GUMBS",
"credential": "NP-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.