Active NPI
Gwendolyn P. Eymann, RN-NP
- Community Health Nurse Practitioner
- Grass Valley, CA
National Provider Identifier
1730392184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- 5458NP
- Practice address
- 150 Catherine LN
Suite F
Grass Valley, CA 95945-5719 - Phone
- (530) 274-6175
- Fax
- (530) 274-6234
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | 5458NP | CA | Primary |
Addresses
Primary practice location
150 Catherine LN
Suite F
Grass Valley, CA 95945-5719
Mailing address
150 Catherine LN
Suite F
Grass Valley, CA 95945-5719
Phone (530) 274-6175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP401050F | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5458NP | CA | MD | Community Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1730392184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CATHERINE LN",
"address_2": "SUITE F",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455719",
"telephone_number": "530-274-6175",
"fax_number": "530-274-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CATHERINE LN",
"address_2": "SUITE F",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455719",
"telephone_number": "530-274-6175",
"fax_number": "530-274-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EYMANN",
"first_name": "GWENDOLYN",
"middle_name": "P.",
"credential": "RN-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "CA",
"license": "5458NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP401050F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
- Gayle Ann Evans, RN
- Paul Lewis Evans, D.D.S.
- Richard F. Evans, MD
- Evolution Physical Therapy & Wellness
- Evolution Physical Therapy & Wellness LLC (Evolution Physical Therapy and Wellness)
- Crystal Jean Wheeler Ezell, SLP
- Antoinette Belinda Fabela, M.A
- Anabel S Facemire, MD
- Dawna M Fagan
- Falvey Dental Practice PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.