Mary A. Gumbo, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP60786406 Issued in WA

Practice address

344 Cleveland Ave SE Ste a
Tumwater, WA 98501-3342

Phone

(425) 200-0654

Fax

(425) 200-0646

NPI assigned

Aug 22, 2017

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cura HealthcareGroup PAC ID 5799143103, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Integrated Health and Wellness, LLC

  • Clinic/Center
  • Tacoma, WA
  • NPI 1982366936
  Medicare reassignment NPD Authorized official
• Cura Healthcare

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1649984667

  WA

  Medicare reassignment Care Compare group NPD
• Altea Medical Washington PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Everett, WA
  • NPI 1609655497
  Medicare reassignment NPD
• Bastion Health PC

  dba Crown Health

  • Family Medicine Physician
  • Tukwila, WA
  • NPI 1750921193
  Medicare reassignment NPD
• New Era Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynnwood, WA
  • NPI 1073198602
  Medicare reassignment NPD
• Rejuvenation Medical PLLC

  • Family Medicine Physician
  • Edgewood, WA
  • NPI 1447712559
  Medicare reassignment NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  WA

  Medicare reassignment NPD
• Silvercare Medical Group LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Tacoma, WA
  • NPI 1912801481
  NPD (past) Authorized official
• Unique Mental Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Everett, WA
  • NPI 1881399723
  NPD (past)

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1962928861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 CLEVELAND AVE SE STE A",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013342",
            "telephone_number": "425-200-0654",
            "fax_number": "425-200-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 CLEVELAND AVE SE STE A",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013342",
            "telephone_number": "425-200-0654",
            "fax_number": "425-200-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMBO",
        "first_name": "MARY",
        "middle_name": "A.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60786406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorin Rae Griffitts, LSWAIC, MSW
• Yavonnie Leslie Griggs
• Rebecca E Grondel, LMFT
• Abby G Gross, LMHCA, ATR-P
• Lani Charlene Gross
• Gundersen Dental Care
• Arne Erik Gundersen, D.D.S.
• Laura L Gunther
• Walter S Haley, DDS
• Dona Hall

• Adult Health Nurse Practitioner in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.