Individual provider Active NPI

Amy Gebhardt, RN

  • Registered Nurse
  • West Sacramento, CA
National Provider Identifier
1790272532
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95116791 Issued in CA
Practice address
2945 Ramco St Ste 180
West Sacramento, CA 95691-5995
Phone
(916) 371-8863
Fax
(916) 372-7291
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95116791 CA Primary

Addresses

Primary practice location

2945 Ramco St Ste 180
West Sacramento, CA 95691-5995

Mailing address

2945 Ramco St Ste 180
West Sacramento, CA 95691-5995

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95116791CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Heritage Oaks Hospital Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1790272532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 RAMCO ST STE 180",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 RAMCO ST STE 180",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915995",
            "telephone_number": "916-371-8863",
            "fax_number": "916-372-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARDT",
        "first_name": "AMY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95116791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.