Individual provider Active NPI

Ginelle Christine Healy, RN, CDE

  • Diabetes Educator Registered Nurse
  • Castro Valley, CA
National Provider Identifier
1487167516
Registry record updated Nov 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
720474 Issued in CA
Practice address
20101 Lake Chabot Rd FL 3
Castro Valley, CA 94546-5305
Phone
(510) 727-3032
Fax
(510) 583-7624
NPI assigned
Nov 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 720474 CA Primary

Addresses

Primary practice location

20101 Lake Chabot Rd FL 3
Castro Valley, CA 94546-5305

Mailing address

1844 Harvest Rd
Pleasanton, CA 94566-5417
Phone (510) 727-3032

Other names 1

  • Ginelle Nelson Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
720474CAMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter East Bay Medical Foundation Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510358400000",
    "number": "1487167516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 HARVEST RD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665417",
            "telephone_number": "510-727-3032",
            "fax_number": "510-583-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 LAKE CHABOT RD FL 3",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465305",
            "telephone_number": "510-727-3032",
            "fax_number": "510-583-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "GINELLE",
        "middle_name": "CHRISTINE",
        "credential": "RN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-11",
        "last_updated": "2017-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "720474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINELLE",
            "last_name": "NELSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.