Individual provider Active NPI

Phyllis Marie Tubbs-Gingerich, RN,BSN,LE,CLT-LYMPHE

  • Oncology Registered Nurse
  • Morgan Hill, CA
National Provider Identifier
1538208459
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Registered NurseTaxonomy code 163WX0200X
License
489916 Issued in CA
Practice address
16360 Monterey Road
Suite 270
Morgan Hill, CA 95037-5406
Phone
(408) 782-1028
Fax
(408) 782-1061
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 489916 CA
Administrator Registered Nurse 163WA2000X 489916 CA
Specialist 174400000X A236621 CA
Oncology Registered Nurse 163WX0200X 489916 CA Primary

Addresses

Primary practice location

16360 Monterey Road
Suite 270
Morgan Hill, CA 95037-5406

Mailing address

16360 Monterey Road
Suite 270
Morgan Hill, CA 95037-5406
Phone (408) 782-1028

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
489916CAMDAdministrator Registered Nurse
A236621CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ginger-K Center Registered Nurse 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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1538208459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16360 MONTEREY ROAD",
            "address_2": "SUITE 270",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375406",
            "telephone_number": "408-782-1028",
            "fax_number": "408-782-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16360 MONTEREY ROAD",
            "address_2": "SUITE 270",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375406",
            "telephone_number": "408-782-1028",
            "fax_number": "408-782-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBS-GINGERICH",
        "first_name": "PHYLLIS",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN,BSN,LE,CLT-LYMPHE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "489916",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "489916",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A236621",
            "primary": false
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "CA",
            "license": "489916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.