Individual provider Active NPI

Erik Gumbs

  • Nurse Practitioner
  • Dover, DE
National Provider Identifier
1427693415
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LP-0000324 Issued in DE
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LP-0000324OtherDESTATE OF DELAWARE LICENSE
AG05190078OtherTHE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS

Other names 1

  • Erique Gumbs Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP-0000324DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Health Equity Coalition CurrentSince Sep 12, 2024 Accepting new patients
Concord Medical Inc. CurrentSince Sep 12, 2024 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.

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

Verify at the official NPI Registry.