Phyllis Romy Garay

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021630 Issued in CA

Practice address

751 Lombardi CT
Santa Rosa, CA 95407-6798

Phone

(707) 547-2222

NPI assigned

Aug 2, 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)

Enrolled

Interoperability endpoints

• Direct secure messaging: phyllis.garay.1@20067.direct.athenahealth.com

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1801523709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 HANCOCK VIEW",
            "address_2": "DECATUR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30034",
            "telephone_number": "678-791-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 LOMBARDI CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076798",
            "telephone_number": "707-547-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N Dutton Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954017112",
            "country_code": "US",
            "telephone_number": "707-396-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 N Dutton Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954017112",
            "country_code": "US",
            "telephone_number": "707-396-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARAY",
        "first_name": "PHYLLIS",
        "middle_name": "ROMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Miller Gamble, M.D.
• Gabi Gannon
• John A. Gansel, MD
• Michael Appell Ganz, MD
• Claudia Maria Garate-House
• Barbara J Garayalde
• Antoanela Garbacea, D.D.S.
• Ivy M Garcia Hernandez
• Rolando Garcia Lopez
• Jonathan David Garcia Mora

• Family Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.