JILL R GIBSON (NPI# 1073553376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073553376 |
| Entity Type | Individual |
| Full Name | JILL R GIBSON |
| Credential | NP |
| Practice Address |
35 Michigan St Ne Suite 4150 Grand Rapids MI 49503-2514 |
| Mailing Address |
15448 Howard St Spring Lake MI 49456-1526 |
| Practice Telephone | 6162672100 |
| Practice Fax Number | 6162672101 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704165794 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PIN | 500870355 | 01 |
| MI | 4631797 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932642378 | Jill A Gibson | Massage Therapist | 3601 W Meadow Briar Dr, Tucson, AZ 85741-2000 | 2016-12-01 |
| 1033348487 | Jill D Gibson | Obstetrics & Gynecology | 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014-5699 | 2009-07-07 |
| 1417124736 | Jill Gibson | Obstetrics & Gynecology | 106 Highland Park Plz B2, Covington, LA 70433-7116 | 2008-05-15 |
| 1477672095 | Jill Susanne Gibson | Physical Therapist | 1570 E 17th St, Santa Ana, CA 92705-8502 | 2007-03-28 |
| 1437648045 | Jill Emily Gibson | Student in an Organized Health Care Education/Training Program | 875 Union Ave, Memphis, TN 38103-3513 | 2018-05-09 |
| 1629120761 | Jill Gibson | Internal Medicine | 1715 Iron Horse Dr Ste 100, Longmont, CO 80501-9617 | 2007-01-17 |
| 1003967001 | Jill Wheeler Gibson | Chiropractor | 70 New Ocean St, Swampscott, MA 01907-1831 | 2007-01-16 |
| 1679563480 | Jill Carolyn Gibson | Pharmacist | 202 N Broadway, Rochester, MN 55906-3646 | 2005-10-24 |
| Street Address |
35 MICHIGAN ST NE SUITE 4150 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494120 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2005-08-15 |
| 1124650130 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2020-02-07 |
| 1326607029 | Julie Lynn Cusic | Social Worker | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2019-06-07 |
| 1144732850 | Michelle Kristine Buist | Nurse Practitioner | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2017-11-03 |
| 1780195354 | Monica Mulder | Nurse Practitioner | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2029 | 2017-10-23 |
| 1790218980 | Katie Patterson | Technician/Technologist | 35 Michigan St Ne, Suite 5101, Grand Rapids, MI 49503-2514 | 2017-04-05 |
| 1316493604 | Sarah Kempton | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-08-28 |
| 1245683002 | Shawn Kay Hillman | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-07-18 |
| 1710351614 | Jutta Strueber | Student in an Organized Health Care Education/Training Program | 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 | 2015-11-16 |
| 1740668607 | Samantha Rosen | Optometrist | 35 Michigan St Ne, Suite 5101, Grand Rapids, MI 49503-2514 | 2015-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669807970 | Lisa Ann Watkins | Nurse Practitioner | 1545 68th St Se Ste 100, Grand Rapids, MI 49508-7896 | 2013-09-05 |
| 1073772984 | Mary R. Holt | Nurse Practitioner | 935 Baxter St Se, Grand Rapids, MI 49506-2500 | 2008-06-05 |
| 1518020395 | Sarah K Little | Nurse Practitioner | 35 Michigan St Ne Ste 4150, Grand Rapids, MI 49503-2529 | 2006-12-19 |
| 1427568021 | Elizabeth Demaagd | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2017-10-09 |
| 1093237356 | Emily Alison Jandasek | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2017-07-08 |
| 1730628199 | Karly Rose Mcleod Hiser | Nurse Practitioner | 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503-2527 | 2017-02-17 |
| 1245683002 | Shawn Kay Hillman | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-07-18 |
| 1477901759 | Maria Mccormick | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2016-05-27 |
| 1285006700 | Anna K Weller | Nurse Practitioner | 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 | 2015-10-23 |
| 1992149934 | Rebecca S Mccurdy | Nurse Practitioner | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2013-04-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on JILL R 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.