Elizabeth De Guia Gammada, NPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN16466 Issued in TN

Practice address

1509 Old Cowan Rd
Winchester, TN 37398-1913

Phone

(931) 962-2540

Fax

(931) 962-1400

NPI assigned

Jan 10, 2012

Last updated

Feb 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pinnacle Internal Medicine PLLC

  • Internal Medicine Physician
  • Winchester, TN
  • NPI 1942480801
  Medicare reassignment NPD
• Elk River Physicians Group, PLLC

  • Podiatrist
  • Winchester, TN
  • NPI 1386686806
  NPD (past)

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1801166673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 OLD COWAN RD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981913",
            "telephone_number": "931-636-2633",
            "fax_number": "931-962-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 OLD COWAN RD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981913",
            "telephone_number": "931-962-2540",
            "fax_number": "931-962-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMADA",
        "first_name": "ELIZABETH",
        "middle_name": "DE GUIA",
        "name_prefix": "Mrs.",
        "credential": "NPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN16466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Darron Fowler, PA-C
• Franklin County Board of Education
• Franklin County Senior Citizens, Inc
• Kathryn Lynn Freeman, FNP
• Mary Fults
• Ephraim B Gammada, MD, INTERNAL MEDICIN
• Charles D Ganime, D.P.M.
• Monica Kay Gann, FNP-BC
• Bonnie Pack Garland, PT
• Garrett Orr (Winchester Family Dentistry)

• Family Nurse Practitioner in Winchester, TN
• Providers in Winchester, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.