Gwendolyn Delosie Sampson Brown, RN, DNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

502051 Issued in CA

Practice address

490 Waterwood Dr
Rio Vista, CA 94571-1675

Phone

(510) 881-6463

NPI assigned

Feb 23, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Pacific Hospice Care Corporation

  • Community Based Hospice Care Agency
  • Los Angeles, CA
  • NPI 1235282773
  NPD
• Pacific Hospice Care Corporation

  • Community Based Hospice Care Agency
  • Encino, CA
  • NPI 1730163148
  NPD

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1992404495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 WATERWOOD DR",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "945711675",
            "telephone_number": "510-881-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 WATERWOOD DR",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "945711675",
            "telephone_number": "510-881-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON BROWN",
        "first_name": "GWENDOLYN",
        "middle_name": "DELOSIE",
        "credential": "RN, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "502051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rio Vista Holistic Health Center
• River Delta Unified School District
• River Delta Usd
• Teresa Delores Rucker, REGISTERED NURSE
• Arturo Hernandez Ruiz, RECOVERY WORKER
• Emilia Seiferling, D.D.S.
• Savannah Dimpna Short, APCC
• Sharon Skelton, MFT
• Deborah Small, M.S., P.P.S.C
• Briana Soladay

• Registered Nurse in Rio Vista, CA
• Providers in Rio Vista, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.