Gemma B. Sto Nino, FNP
Individual provider Active NPI Family Nurse Practitioner · Tamuning, GU
NPI 1992204580 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1992204580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 20R64 (GU)
- Practice address
- 388 Ypao Rd
Tamuning, GU 96913-3701 - Phone
- (671) 646-8881
- Fax
- (671) 648-2548
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- General Conference Corp of Sda
Practice addresses (Care Compare)
388 Ypao Rd
Tamuning, GU 96913-3701
Phone (671) 646-8881
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200717002740 | GU | Practitioner - Nurse Practitioner | 6608290010 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP135674 | TX | MD | Family Nurse Practitioner |
| 20NP02 | GU | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Conference Corp of Sda | Current |
Accepting new patients |
Interoperability endpoints
- gemma.sto.nino.1@31775.direct.athenahealth.com
- gemma.stonino@adventistclinic.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 20NP02 | GU | |
| Family Nurse Practitioner | 363LF0000X | AP135674 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | AP135674 | TX | |
| Family Nurse Practitioner | 363LF0000X | 20R64 | GU | Yes |
Addresses
Primary practice location
388 Ypao Rd
Tamuning, GU 96913-3701
Mailing address
710 Pacific Ave
Edinburg, TX 78539-7356
Phone (956) 624-7591
Other practice location 1
710 Pacific Ave
Edinburg, TX 78539-7356
Phone (956) 624-7591
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gemma.stonino@adventistclinic.directbygreenway.com | Direct |
NPI Registry JSON
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1992204580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 PACIFIC AVE",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785397356",
"telephone_number": "956-624-7591",
"fax_number": "888-924-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 YPAO RD",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133701",
"telephone_number": "671-646-8881",
"fax_number": "671-648-2548"
}
],
"practiceLocations": [
{
"address_1": "710 Pacific Ave",
"address_purpose": "LOCATION",
"city": "Edinburg",
"state": "TX",
"postal_code": "785397356",
"country_code": "US",
"telephone_number": "956-624-7591",
"fax_number": "888-924-0697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STO NINO",
"first_name": "GEMMA",
"middle_name": "B.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-08",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GU",
"license": "20NP02",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP135674",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP135674",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GU",
"license": "20R64",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gemma.stonino@adventistclinic.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "388 Ypao Rd",
"city": "Tamuning",
"state": "GU",
"country_code": "US",
"postal_code": "969133701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tamuning, GU
- Spectrum Consulting Group
- Sports, Orthopedics & Active Rehabilitation, Inc.
- St Joseph Pharmacy Inc
- William Edgar Stanley II
- Stephanie Steele
- Jeannette F Storey
- Walter Edward Stratton
- Sunny Suhr
- Kelly Renae Sukola
- Hugh Sule
All providers in Tamuning, GU · Family Nurse Practitioner in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.