Individual provider Active NPI

Anita Loraine Gillchrest, R.N., P.N.P.

  • School Registered Nurse
  • San Ysidro, CA
National Provider Identifier
1699989863
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
302740 Issued in CA
Practice address
4350 Otay Mesa Rd
San Ysidro, CA 92173-1617
Phone
(619) 428-4476
Fax
(619) 428-6473
NPI assigned
May 9, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 302740 CA
Pediatric Nurse Practitioner 363LP0200X 222814 TX
Community Health Registered Nurse 163WC1500X 302740 CA
School Registered Nurse 163WS0200X 302740 CA Primary

Addresses

Primary practice location

4350 Otay Mesa Rd
San Ysidro, CA 92173-1617

Mailing address

840 Ruthupham Ave
San Diego, CA 92154-2354
Phone (619) 575-0271

Other names 1

  • Ms. Anita Mobley Gillchrest Other 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
302740CAMDPediatric Nurse Practitioner
222814TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Ysidro School District 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, 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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1699989863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 RUTHUPHAM AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921542354",
            "telephone_number": "619-575-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 OTAY MESA RD",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921731617",
            "telephone_number": "619-428-4476",
            "fax_number": "619-428-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLCHREST",
        "first_name": "ANITA",
        "middle_name": "LORAINE",
        "name_prefix": "Ms.",
        "credential": "R.N., P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "302740",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "222814",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "302740",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "302740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "GILLCHREST",
            "middle_name": "MOBLEY",
            "prefix": "MS.",
            "credential": "R.N., P.N.P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Ysidro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.