Active NPI
Blessed Gwebu
- Home Health Registered Nurse
- Visalia, CA
National Provider Identifier
1891409231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 772049
- Practice address
- 3045 N Winslow St
Visalia, CA 93291-8686 - Phone
- (707) 227-8997
- NPI assigned
- Jan 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 772049 | CA | Primary |
Addresses
Primary practice location
3045 N Winslow St
Visalia, CA 93291-8686
Mailing address
PO Box 2431
Visalia, CA 93279-2431
Phone (707) 227-8997
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
| License | State | Type | Specialty |
|---|---|---|---|
| 772049 | CA | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1891409231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2431",
"city": "VISALIA",
"state": "CA",
"postal_code": "932792431",
"telephone_number": "707-227-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 N WINSLOW ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918686",
"telephone_number": "707-227-8997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWEBU",
"first_name": "BLESSED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-10",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "772049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.