Individual provider Active NPI

Cristina Grace Gamer-Brown, LMSW

  • Social Worker
  • Hiawatha, KS
National Provider Identifier
1760744197
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8402 Issued in KS
Practice address
909 S 2ND St
Hiawatha, KS 66434-2774
Phone
(785) 742-7113
NPI assigned
Jun 12, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8402 KS Primary

Addresses

Primary practice location

909 S 2ND St
Hiawatha, KS 66434-2774

Mailing address

418 Poyntz Ave
Apt 607
Manhattan, KS 66502-6060
Phone (636) 541-0028

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

LicenseStateTypeSpecialty
8402KSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1760744197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 POYNTZ AVE",
            "address_2": "APT 607",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026060",
            "telephone_number": "636-541-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S 2ND ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342774",
            "telephone_number": "785-742-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMER-BROWN",
        "first_name": "CRISTINA",
        "middle_name": "GRACE",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.