Gina Lanore Gwerder, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61354263 Issued in WA

Practice address

853 Watson St N
Enumclaw, WA 98022-3948

Phone

(360) 768-4045

NPI assigned

Sep 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gina.gwerder.1@17803.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17803/brand/1/csg/1/fhir/r4

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.

• RFMP PLLC

  • Family Medicine Physician
  • Enumclaw, WA
  • NPI 1720575400
  NPD (past)

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1619697380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19505 SE 384TH ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980929755",
            "telephone_number": "253-508-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 WATSON ST N",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223948",
            "telephone_number": "360-768-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWERDER",
        "first_name": "GINA",
        "middle_name": "LANORE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61354263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Janette Graham, M.A.
• Robert C Gramann, MD
• Vera Grant, PAC
• Joan D. Green Ferguson, MS ED, LMHC
• Paul Gunderson, MD
• Thomas Hagan
• Sara L Hall, CNM
• Stacey Hancock, L.M.P.
• Jennifer Hannaford, PCD (NAPS)
• Stephen B Harding, D.D.S.

• Family Nurse Practitioner in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.