Individual provider Active NPI

Justine N. Gamble, FNP

  • Family Nurse Practitioner
  • Marysville, CA
National Provider Identifier
1841551033
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031365 Issued in CA
Practice address
1908 N Beale Rd Ste E
Marysville, CA 95901-6937
Phone
(530) 743-6888
NPI assigned
Jun 4, 2012
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031365 CA Primary
Registered Nurse 163W00000X 797849 CA

Addresses

Primary practice location

1908 N Beale Rd Ste E
Marysville, CA 95901-6937

Mailing address

1908 N Beale Rd
Marysville, CA 95901-6937
Phone (530) 743-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20241001002822 CA Order and Referring Only - Nurse Practitioner 8729519707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
797849CAMDRegistered Nurse
95031365CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Medical Clinic and Family Resource Center PastSince Aug 11, 2024 Accepting new patients
Baby Buddies Birth Center PastSince Aug 11, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8237/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1841551033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N BEALE RD",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016937",
            "telephone_number": "530-743-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N BEALE RD STE E",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016937",
            "telephone_number": "530-743-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "JUSTINE",
        "middle_name": "N.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031365",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "797849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.