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

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.

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 (52 clinicians)

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 IDStateProvider typePAC IDDetails
I20200717002740 GU Practitioner - Nurse Practitioner 6608290010 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
AP135674TXMDFamily Nurse Practitioner
20NP02GUMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Conference Corp of Sda Current
since Jul 13, 2020
Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gemma.sto.nino.1@31775.direct.athenahealth.com
  • Direct secure messaging: gemma.stonino@adventistclinic.directbygreenway.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address gemma.stonino@adventistclinic.directbygreenway.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 3, 2020.

{
    "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

All providers in Tamuning, GU · Family Nurse Practitioner in Guam

Sources for this page

Verify at the official NPI Registry.