MARY A. GUMBO (NPI# 1962928861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962928861 |
| Entity Type | Individual |
| Full Name | MARY A. GUMBO |
| Credential | ARNP |
| Practice Address |
4508 Auburn Way N Ste C Auburn WA 98002-1381 |
| Mailing Address |
15706 Se 182nd Pl Renton WA 98058-9661 |
| Practice Telephone | 2537375764 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP60786406 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4508 AUBURN WAY N STE C |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578929949 | Jennifer Goble | Nurse Practitioner | 4508 Auburn Way N Ste C, Auburn, WA 98002 | 2016-01-14 |
| 1255840559 | Keillan Leigh Mennella | Nurse Practitioner | 4508 Auburn Way N Ste C, Auburn, WA 98002-1381 | 2017-09-29 |
| 1568980761 | Sylvie A Hakizimana | Nurse Practitioner | 4508 Auburn Way N Ste C, Auburn, WA 98002-1381 | 2017-09-07 |
| 1922526607 | Holly Amber Stone | Registered Nurse | 4508 Auburn Way N Ste C, Auburn, WA 98002-1381 | 2017-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821377573 | Isabel Jennie Kliss | Nurse Practitioner | 11 Wheeler St, Auburn, NY 13021-2222 | 2011-08-12 |
| 1558517086 | Tammy L Gardell | Nurse Practitioner | 489 Washington St Ste 202, Auburn, MA 01501-5709 | 2008-08-15 |
| 1225525801 | Sonya S Kowalski | Nurse Practitioner | 37 W Garden St, Auburn, NY 13021-2662 | 2018-04-18 |
| 1538405246 | Nancy Lynne O'connor-ryerson | Nurse Practitioner | 135 State St, Auburn, NY 13024-9001 | 2012-12-27 |
| 1154550523 | Lisa M Kessel | Nurse Practitioner | 77 Nelson St, Suite 240, Auburn, NY 13021-1944 | 2009-07-07 |
| 1467650457 | Patricia Arlene Hutchins | Nurse Practitioner | 791 Turner St Unit 2, Auburn, ME 04210-6314 | 2007-07-11 |
| 1518030592 | Deborah Jean Walsh | Nurse Practitioner | 281 Grant Avenue, Auburn, NY 13021 | 2006-11-16 |
| 1093800575 | Terri A Levine | Nurse Practitioner | 8 Hulbert St, Suite A, Auburn, NY 13021-3430 | 2006-10-03 |
| 1154423713 | Kathryh Anne Chambers | Nurse Practitioner | 3 Saint Anthony St, Auburn, NY 13021-4525 | 2006-09-03 |
| 1750496352 | Elizabeth Mizro | Nurse Practitioner | 17 Lansing St, Auburn Memorial Hospital / Hospitalists Dept, Auburn, NY 13021-1983 | 2006-08-21 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.