Individual provider Active NPI

Gabriela Loera Chim, RN

  • Home Health Clinical Nurse Specialist
  • Yuma, AZ
National Provider Identifier
1891491692
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
License
262384 Issued in AZ
Practice address
2607 S 4TH Ave Ste D6
Yuma, AZ 85364-7372
Phone
(928) 373-8487
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Home Health Clinical Nurse Specialist 364SH0200X 262384 AZ Primary

Addresses

Primary practice location

2607 S 4TH Ave Ste D6
Yuma, AZ 85364-7372

Mailing address

2607 S 4TH Ave Ste D6
Yuma, AZ 85364-7372
Phone (928) 373-8487

Other practice location 1

2607 S 4th Ave Ste D6
Yuma, AZ 85364-7372
Phone (928) 373-8487

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
262384AZMDHome Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Amity Home Care of Yuma Home Health Aide CurrentSince Feb 8, 2023 Accepting new patients
Amity Home Care of Yuma LLC Home Health Aide CurrentSince Apr 30, 2023 Accepting new patients

Locations

2607 S 4th Ave
Ste D6
Yuma, AZ 85364
Phone (928) 373-8487

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1891491692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 S 4TH AVE STE D6",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647372",
            "telephone_number": "928-373-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 S 4TH AVE STE D6",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647372",
            "telephone_number": "928-373-8487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2607 S 4th Ave Ste D6",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647372",
            "country_code": "US",
            "telephone_number": "928-373-8487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIM",
        "first_name": "GABRIELA",
        "middle_name": "LOERA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "AZ",
            "license": "262384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

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

Verify at the official NPI Registry.