Wanda Gebauer

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

167351 Issued in NY

Practice address

111 W 2ND St
Jamestown, NY 14701-5207

Phone

(716) 484-9113

NPI assigned

Jun 13, 2008

Last updated

Jun 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1689834582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3287 BUNKER HILL RD",
            "city": "RANDOLPH",
            "state": "NY",
            "postal_code": "147729786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 2ND ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015207",
            "telephone_number": "716-484-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBAUER",
        "first_name": "WANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "167351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gattman, NP
• Robert John Gatto Jr., D.C.
• Emily Suzanne Gausman, DMD
• Kevonn Gay
• William A Geary, M.D., PHD
• Kaitlin Gedz, PA-C
• Samir M Geleil, MD
• Allison R Genco, MS, CCC-SLP/L
• Taylor Marie Genco, RN
• Mario Gentile, MD

• Licensed Practical Nurse in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.