Individual provider Active NPI

Gabrielle M L Amis, FNP-C

  • Family Nurse Practitioner
  • Livingston, CA
National Provider Identifier
1740009372
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032439 Issued in CA
Practice address
600 B St
Livingston, CA 95334-9593
Phone
(209) 850-3500
NPI assigned
Oct 9, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95032439 CA Primary

Addresses

Primary practice location

600 B St
Livingston, CA 95334-9593

Mailing address

3144 G St Ste 125-101
Merced, CA 95340-1300
Phone (209) 230-5756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20250311003661 CA Practitioner - Nurse Practitioner 9537680194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95032439CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lumira Healthcare CurrentSince Jan 4, 2025 Accepting new patients
Lumira Healthcare Current Accepting new patients
Lumira Healthcare CurrentSince Jan 4, 2025 Accepting new patients
Lumira Healthcare PastSince Aug 1, 2020 Accepting new patients

Locations

1140 Main St
Livingston, CA 95334
Phone (209) 394-7913

600 B St
Livingston, CA 95334
Phone (209) 850-3500

600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500

Interoperability endpoints

  • Direct secure messaging: gabrielle.amis.p3@direct.livingstoncommunity.nextgenshare.com

Organizations & group practices 4

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": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1740009372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 G ST STE 125-101",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953401300",
            "telephone_number": "209-230-5756",
            "fax_number": "209-723-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 B ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349593",
            "telephone_number": "209-850-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIS",
        "first_name": "GABRIELLE",
        "middle_name": "M L",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, CA

Sources for this page

Verify at the official NPI Registry.