Individual provider Active NPI

Manibe Atibe Gnama

  • Home Health Registered Nurse
  • Hempstead, NY
National Provider Identifier
1770145799
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
335051 Issued in NY
Practice address
100 Terrace Ave Apt 255
Hempstead, NY 11550-2363
Phone
(347) 784-1265
NPI assigned
Jun 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 335051 NY Primary

Addresses

Primary practice location

100 Terrace Ave Apt 255
Hempstead, NY 11550-2363

Mailing address

100 Terrace Ave Apt 255
Hempstead, NY 11550-2363
Phone (347) 784-1265

Other practice location 1

100 Terrace Ave Apt 255
Hempstead, NY 11550-2363

Other identifiers 1

IdentifierTypeStateIssuer
516037741OtherNYUNITED STATES DEPARTMENT OF STATE

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
335051NYMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561766400000",
    "number": "1770145799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TERRACE AVE APT 255",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115502363",
            "telephone_number": "347-784-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TERRACE AVE APT 255",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115502363",
            "telephone_number": "347-784-1265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Terrace Ave Apt 255",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115502363",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GNAMA",
        "first_name": "MANIBE",
        "middle_name": "ATIBE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-29",
        "last_updated": "2019-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "335051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED STATES DEPARTMENT OF STATE",
            "identifier": "516037741",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; 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.