Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shawn Raphael Gumbs

Individual provider Registered Nurse · NPI 1568970044

Shawn Raphael Gumbs is a Registered Nurse in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (347) 385-9028
Fax: (718) 528-0611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 121631 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 584827-1 (NY)

Record details

NPI number1568970044
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 18, 2018
Last updated in NPPESMarch 7, 2018

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