Elizabeth Eaton-Gamsby, R.N., F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60126953 Issued in WA

Practice address

77 Wainwright Dr
Walla Walla, WA 99362-3975

Phone

(509) 525-5200

Fax

(509) 527-6118

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1720114366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WAINWRIGHT DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623975",
            "telephone_number": "509-525-5200",
            "fax_number": "509-527-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WAINWRIGHT DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623975",
            "telephone_number": "509-525-5200",
            "fax_number": "509-527-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON-GAMSBY",
        "first_name": "ELIZABETH",
        "credential": "R.N., F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60126953",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00092140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Dyer
• Francis Eacker-Rude, MACOM, LAC
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• Eastern Washington Dermatology PLLC
• Luke Alexander Eatherton, MSW
• Kirsten B Eberhardt, M.D.
• Karl Robert Eckhardt, M.D.
• Edwards & Choi DDS, Inc.
• Andrew S Edwards, MD
• Herbert C Edwards, DDS

• Family Nurse Practitioner in Walla Walla, WA
• Providers in Walla Walla, 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 Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.