MICHAEL GIBBONS (NPI# 1063888253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063888253 |
| Entity Type | Individual |
| Full Name | MICHAEL GIBBONS |
| Credential | CNP |
| Practice Address |
173 Chelsea St Everett MA 02149-4632 |
| Mailing Address |
10 Charles E Ryan Rd Apt 1 Somerville MA 02145-2573 |
| Practice Telephone | 7813886200 |
| Mailing Telephone | 6175298170 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2016-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN2264515 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801389788 | Michael Thomas Gibbons | Surgery | Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-06-14 |
| 1396153839 | Michael Gibbons | Skilled Nursing Facility | 93 Jordan Blvd, Delmar, NY 12054-4105 | 2014-07-29 |
| 1083895999 | Michael Joseph Gibbons | Registered Nurse | 12 Scenic Hills Dr, Ridge, NY 11961-3022 | 2007-11-19 |
| 1184693574 | Michael T Gibbons | Nurse Anesthetist, Certified Registered | 421 Se Osceola St, Ste 3, Stuart, FL 34994-2505 | 2006-03-16 |
| 1538167234 | Michael J Gibbons | Dentist | 7477 E Doubletree Ranch Rd, Suite 200, Scottsdale, AZ 85258-2048 | 2005-07-07 |
| 1215126925 | Michael T Gibbons | Emergency Medicine | 1296 Tod Pl Nw, Suite 200, Warren, OH 44485-2474 | 2007-10-18 |
| 1285838763 | Michael D Gibbons | Hospitalist | 4220 Harding Rd, Suite 500, Nashville, TN 37205-2005 | 2007-06-11 |
| 1083825905 | Michael Gibbons | Massage Therapist | 19102 State Route 410 E Ste A, Bonney Lake, WA 98391-8449 | 2007-05-24 |
| 1659598563 | Michael Gibbons | Counselor | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2007-04-20 |
| 1104970664 | Michael P Gibbons | Dentist | 4801 W Peterson Ave, Suite 550, Chicago, IL 60646-5795 | 2007-01-22 |
| Street Address |
173 CHELSEA ST |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063499168 | Tracy J Wilbraham | Nurse Practitioner | 173 Chelsea St, Everett, MA 02149-4632 | 2005-12-29 |
| 1104438498 | Anne Susan Keliher | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2020-08-19 |
| 1790395960 | Ines Del Carmen Herrero | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2020-08-03 |
| 1194340075 | Andrew Miller Shegda | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2020-06-16 |
| 1497379994 | Raeanna M Lucey | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2020-06-01 |
| 1720637408 | Lauren Michelle Sullivan | Social Worker | 173 Chelsea St, Everett, MA 02149-4632 | 2019-09-05 |
| 1740842293 | Kimberly Ann Knowles | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2019-07-05 |
| 1669036950 | Amanda Thorne | Social Worker | 173 Chelsea St, Everett, MA 02149-4632 | 2019-04-23 |
| 1104386945 | Benjamin Christian Warren | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2019-03-20 |
| 1740763168 | Casey Campbell Frieling | Registered Nurse | 173 Chelsea St, Everett, MA 02149-4632 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933642 | Julia Kase | Nurse Practitioner | 728 134th St Sw Ste 207, Everett, WA 98204-5322 | 2019-10-13 |
| 1740765650 | Joan W Kamata | Nurse Practitioner | 38 Carter St Apt 313, Everett, MA 02149-2525 | 2018-09-26 |
| 1679092704 | Bethell Assefa | Nurse Practitioner | 3624 Colby Ave Ste B, Everett, WA 98201-4789 | 2017-09-09 |
| 1518011089 | Susan Farist Butler | Nurse Practitioner | Tri City Mhc, 173 Chelsea St, Everett, MA 02149 | 2007-01-22 |
| 1780643973 | Jessica Susan Webb | Nurse Practitioner | 12728 19th Ave Se, Suite 300, Everett, WA 98208-6526 | 2006-03-17 |
| 1063499168 | Tracy J Wilbraham | Nurse Practitioner | 173 Chelsea St, Everett, MA 02149-4632 | 2005-12-29 |
| 1912518093 | Holly Anne Bernstein | Nurse Practitioner | 3927 Rucker Ave, Everett, WA 98201-4833 | 2020-08-12 |
| 1073124491 | Alana Brianne Beck | Nurse Practitioner | 1818 121st St Se, Everett, WA 98208-5985 | 2020-08-10 |
| 1588273114 | Dayna Wong | Nurse Practitioner | 1818 121st St Se, Everett, WA 98208-5985 | 2020-07-29 |
| 1063021137 | Katelyn Pedersen | Nurse Practitioner | 3927 Rucker Ave, Everett, WA 98201-4833 | 2020-07-24 |
| Find all providers in EVERETT | ||||
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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.