MS. CAROL CECILIA GIBSON (NPI# 1053302349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053302349 |
| Entity Type | Individual |
| Full Name | MS. CAROL CECILIA GIBSON |
| Credential | NURSE PRACTITIONER |
| Practice Address |
401 Carpenter Rd Arlington VA 22211-1009 |
| Mailing Address |
9200 Carendon Ct Upper Marlboro MD 20772-5207 |
| Practice Telephone | 7036963552 |
| Practice Fax Number | 7036963552 |
| Mailing Telephone | 7036963552 |
| Mailing Fax Number | 7036966320 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
UP000909G | PA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
UP000909G | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235448937 | Carol L Gibson | Counselor | 10412 Windway Ave, Oklahoma City, OK 73162-6021 | 2010-09-28 |
| 1477833648 | Carol Lacy Gibson | Nurse Practitioner | 1452 Chain Bridge Rd, Mclean, VA 22101 | 2011-08-19 |
| Street Address |
401 CARPENTER RD |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22211-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386113306 | Caroline Vickers | Physician Assistant | Radar Us Army Health Clinic, 401 Carpenter Road, Fort Myer, VA 22211 | 2018-11-20 |
| 1326371212 | Jeffrey Alan Anderson | Physician Assistant | 410 Sheridan Ave - 529th Rsc, Attn: Regimental Aid Station, Fort Myer, VA 22211 | 2009-09-10 |
| 1194706820 | Joel Margolis | Podiatrist | 525 Carpenter Road, Rader Clinic, Ft. Myer, VA 22211 | 2005-11-09 |
| 1124000492 | Peter Contos II | Physical Therapist | 401 Carpenter Road, Building #525, Arlington, VA 22211 | 2005-11-14 |
| 1205817962 | Sharon L Gray | Social Worker | 525 Carpenter Road, Fort Myer, VA 22211 | 2005-11-09 |
| 1225028590 | Marvin E Bloom | Family Medicine | 450 Carpenter Rd, Rader Clinic, Ft Myer, VA 22211-1008 | 2005-10-26 |
| 1033533039 | Jacqueline H Ware | Pharmacist | 401 Carpenter Road, Bldg 525, Andrew Rader Us Army Health Clinic, Ft Myer, VA 22211-1009 | 2014-02-11 |
| 1306149182 | Crystal Lynn Sims | Physical Therapist | 401 Carpenter Rd Ste 1, Fort Myer, VA 22211-1009 | 2010-12-16 |
| 1386620680 | Jeffery Scott Porter | Pediatrics | 401 Carpenter Rd Bldg 525, Room 120, Fort Myer, VA 22211-1009 | 2005-12-19 |
| 1316353782 | Kimbrough Acc Military Mtf | Pharmacy | 401 Carpenter Rd Bldg 525, Fort Myer, VA 22211-1009 | 2014-07-07 |
| Find all providers in zip 22211 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811014814 | Linda Shelton Dutton | Nurse Practitioner | 3504 Estates Dr, Arlington, TX 76016-2401 | 2007-03-23 |
| 1730260266 | Laurie Stewart Mehalic | Nurse Practitioner | 2100 Washington Blvd Fl 2, Community Health Services Bureau, Arlington, VA 22204-5703 | 2006-10-18 |
| 1336238138 | Lindsay Beecroft Umayam | Nurse Practitioner | 3033 Wilson Blvd, Arlington, VA 22201-3843 | 2006-10-12 |
| 1194729426 | Nanette Davies | Nurse Practitioner | 2912 Kraft St, Ste 30, Arlington, TX 76010-5410 | 2005-05-24 |
| 1740834456 | April J Stewart | Nurse Practitioner | 505 Omega Dr, Arlington, TX 76014-2099 | 2019-07-31 |
| 1639631724 | Tonnette Black | Nurse Practitioner | 505 Omega Dr, Arlington, TX 76014-2004 | 2019-04-05 |
| 1558828178 | Tejshri J Gohel | Nurse Practitioner | 505 Omega Dr, Arlington, TX 76014-2004 | 2019-03-01 |
| 1174087415 | Kristen Charleen Hartman | Nurse Practitioner | 505 Omega Dr, Arlington, TX 76014-2004 | 2019-01-30 |
| 1841740164 | Mandy Horne | Nurse Practitioner | 505 Omega Dr, Arlington, TX 76014-2004 | 2016-10-11 |
| 1427297936 | Hazel Elnora Grieger | Nurse Practitioner | 614 Matlock Centre Cir, Arlington, TX 76015-2536 | 2009-02-08 |
| Find all providers in ARLINGTON | ||||
Please comment or provide details below to improve the information on MS. CAROL CECILIA GIBSON.
| 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.