KELLY ANN GIBSON (NPI# 1043559628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043559628 |
Entity Type | Individual |
Full Name | KELLY ANN GIBSON |
Other Name | KELLY ANN MULDOON |
Credential | CRNP |
Practice Address |
6400 Greenfield Rd #908 Elkridge MD 21075-9101 |
Practice Telephone | 4107965917 |
Mailing Telephone | 4107965917 |
Enumeration Date | 2013-02-02 |
Last Update Date | 2014-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R165752 | MD | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093105371 | Kelly Gibson | Chiropractor | 608 Fisher Cir, Folsom, CA 95630-9541 | 2015-01-26 |
1982013124 | Kelly Gibson | Dentist | 18800 Main St Ste 202, Huntington Beach, CA 92648-1718 | 2014-08-12 |
1316140551 | Kelly Marie Gibson | Chiropractor | 1929 W Vista Way, Suite C, Vista, CA 92083 | 2007-06-06 |
1811521172 | Kelly Bruce Gibson | Physical Therapist | 5520 Broadview Rd Frnt, Parma, OH 44134-1606 | 2020-02-26 |
1346737806 | Kelly J Gibson | Occupational Therapy Assistant | 25018 Oakhurst Dr, Spring, TX 77386-2722 | 2018-04-19 |
1407197114 | Kelly Gibson | Physician Assistant | 228 Saint George St, Gonzales, TX 78629-3910 | 2013-03-05 |
1023388444 | Kelly Gibson | Physical Therapist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2012-01-02 |
1215101480 | Kelly Smith Gibson | Obstetrics & Gynecology | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2008-04-17 |
1841324860 | Kelly A Gibson | Audiologist | 780 W Olive Ave Ste 100, Merced, CA 95348-2437 | 2007-03-14 |
Street Address |
6400 GREENFIELD RD #908 |
City | ELKRIDGE |
State | MD |
Zip Code | 21075-9101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174043640 | Howard County Health Department | Clinic/Center | 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 | 2017-06-26 |
1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
1063762417 | Mid-atlantic Allergy & Asthma | Clinic/Center | 8182 Lark Brown Road, Elkridge, MD 21075 | 2012-09-13 |
1447522925 | Alberta Osei Agyeman | Social Worker | 7274 Elkridge Crossing Way, Elkridge, MD 21075 | 2012-01-31 |
1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
1710298112 | Emily Jeanne Marti | Nurse Practitioner | 6095 Marshalee Drive, Elkridge, MD 21075 | 2010-06-30 |
1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
1225250707 | Orthosport Physical Therapy of Md | Clinic/Center | 8174 Lark Brown Road, Suite 101, Elkridge, MD 21075 | 2007-05-03 |
1164643086 | Linda M. Jones-laper | Dentist | 6865 Deerpath Rd Suite 100, Elkridge, MD 21075 | 2007-05-01 |
1487756813 | Robert E Skillman Jr. | Dentist | 5921 Old Washington Rd, Elkridge, MD 21075 | 2006-09-05 |
Find all providers in zip 21075 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518502244 | Atinuke Olufunso Osundina | Nurse Practitioner | 7215 Sugar Magnolia Ln, Elkridge, MD 21075-2401 | 2019-11-18 |
1679016364 | Chandler Gowens | Nurse Practitioner | 6675 Business Pkwy Ste F, Elkridge, MD 21075-6349 | 2016-11-29 |
1023462702 | Sridevi Praveen | Nurse Practitioner | 6439 Sedgwick St, Elkridge, MD 21075-6198 | 2016-04-19 |
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1003416256 | Muriel Monsalud | Nurse Practitioner | 103 W Ostend St, Baltimore, MD 21230-3710 | 2020-10-27 |
1891307575 | Aparna Cynthia Nallala Anil | Nurse Practitioner | 75 Thomas Johnson Dr Ste I, Frederick, MD 21702-4895 | 2020-08-23 |
1285243832 | Jaspreet Kaur Garriques | Nurse Practitioner | 22 S Greene St # N8e10, Baltimore, MD 21201-1590 | 2020-07-29 |
1386267011 | Ann Acosta | Nurse Practitioner | 2014 English Oak Ct, Waldorf, MD 20601-4505 | 2020-05-28 |
1205455029 | Latoya Harvey | Nurse Practitioner | 8408 Adler Ct, Millersville, MD 21108-1771 | 2020-04-11 |
1013546100 | Issa Tew Lo | Nurse Practitioner | 6001 Muncaster Mill Rd, Rockville, MD 20855-1622 | 2020-04-02 |
1891328779 | Sergio Arellano-ayala | Nurse Practitioner | 22 S Greene St # S4d03, Baltimore, MD 21201-1544 | 2020-02-19 |
1518599844 | Hibret Kassa Yifru | Nurse Practitioner | 102 Abbey Manor Ter, Brookeville, MD 20833-3291 | 2020-02-05 |
1710518402 | Conny Nganga | Nurse Practitioner | 10605 Meridian Hill Way, Upper Marlboro, MD 20772-4847 | 2020-01-31 |
1689204604 | Nathaniel Darway | Nurse Practitioner | 500 John Ave, Essex, MD 21221-3344 | 2020-01-17 |
Find all providers with the same taxonomy |
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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.