MRS. SARA ELIZABETH-BERRY GOPSILL NP NPI 1831717982

NPI Information

NPI: 1831717982
Provider Name: MRS. SARA ELIZABETH-BERRY GOPSILL, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1144 65TH ST STE F
OAKLAND, CA
ZIP 94608
Phone: (510) 929-1400
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MRS. Sara Elizabeth-berry Gopsill, NP is a family nurse practitioner in Oakland, CA with 4 years of experience. MRS. Sara Elizabeth-berry Gopsill, NP NPI is 1831717982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1144 65TH ST STE F
OAKLAND, CA
ZIP 94608-053
Phone: (510) 929-1400
Fax: (510) 929-1414

The NPI 1831717982 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2020 and was last updated on 1/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		61061134	WASHINGTON	No
2	363LF0000X	Nurse Practitioner	Family	AP61061134	WASHINGTON	No
3	363LF0000X	Nurse Practitioner	Family	95024119	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2171887	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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