Active NPI
Gwen Lovett, APCC
- Student in an Organized Health Care Education/Training Program
- Alameda, CA
National Provider Identifier
1902316987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 8252
- Practice address
- 1141 Harbor Bay Pkwy Ste 105
Alameda, CA 94502-6596 - Phone
- (510) 835-2777
- NPI assigned
- Oct 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 8252 | CA | Primary |
Addresses
Primary practice location
1141 Harbor Bay Pkwy Ste 105
Alameda, CA 94502-6596
Mailing address
617 Bayonet Cir
Marina, CA 93933-4600
Other practice location 1
617 Bayonet Cir
Marina, CA 93933-4600
Phone (831) 384-7251
Other names 1
- Gwen Humble
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1902316987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 BAYONET CIR",
"city": "MARINA",
"state": "CA",
"postal_code": "939334600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 HARBOR BAY PKWY STE 105",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945026596",
"telephone_number": "510-835-2777"
}
],
"practiceLocations": [
{
"address_1": "617 Bayonet Cir",
"address_purpose": "LOCATION",
"city": "Marina",
"state": "CA",
"postal_code": "939334600",
"country_code": "US",
"telephone_number": "831-384-7251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVETT",
"first_name": "GWEN",
"credential": "APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "8252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GWEN",
"last_name": "HUMBLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.