Amy Marie Gabbert, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95022972 Issued in CA

Practice address

6769 N Willow Ave # 101
Fresno, CA 93710-5900

Phone

(559) 325-2400

NPI assigned

Nov 15, 2022

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

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Country Hospital & Health Center Inc

  • Internal Medicine Physician
  • Newport, VT
  • NPI 1417023904
  NPD (past)

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1760191027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 9TH ST APT 151",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121727",
            "telephone_number": "559-385-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6769 N WILLOW AVE # 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105900",
            "telephone_number": "559-325-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBERT",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95022972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G I Medical Group of Fresno Inc
• G S Bhullar DDS Inc.
• G7 Medical Services, Inc.
• Gaaads, Inc.
• Michelle Elizabeth Gabaldon
• Gabgains
• Fady Gabra, MD
• Andrew Gabriel, DO
• Arevig Gabriel, PHARMD
• Evette Boshra Zikry Gabriel, PA

• All providers in Fresno, CA
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.