TRACI LYNN GIBBS (NPI# 1104074210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104074210 |
| Entity Type | Individual |
| Full Name | TRACI LYNN GIBBS |
| Credential | FPMHNP-BC/LCSW |
| Practice Address |
101 Reeves St Bernice LA 71222-4135 |
| Mailing Address |
Po Box 188 Toomsuba MS 39364-0188 |
| Practice Telephone | 3182857600 |
| Mailing Telephone | 6016928997 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C5063 | MS | Behavioral Health & Social Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP09407 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP7757 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1451 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R873052 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1415 College Dr, Meridian, MS 393075345 | 6014834821 |
| Street Address |
101 REEVES ST |
| City | BERNICE |
| State | LA |
| Zip Code | 71222-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356850341 | Morgan Brazzel | Pharmacist | 417 E 4th Street, Bernice, LA 71222 | 2017-09-22 |
| 1124277728 | Ward 3 4 & 10 Hospital Service District | Family Medicine | 409 First Street, Bernice, LA 71222 | 2008-09-18 |
| 1174698005 | Bernice Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 101 Reeves Street, Bernice, LA 71222 | 2006-11-24 |
| 1548219231 | Robert Brian Harris | Family Medicine | 402 Second St., Bernice, LA 71222 | 2006-05-09 |
| 1912956772 | Lois A. Evans | Family Medicine | 402 Second Ave., Bernice, LA 71222 | 2006-05-09 |
| 1841809274 | The Bernice Pharmacy Inc | Pharmacy | 417 Main St, Bernice, LA 71222 | 2020-07-31 |
| 1295201242 | Gibbs Comprehensive Care, LLC | Community/Behavioral Health | 101 Reeves Street, Bernice, LA 71222 | 2018-10-17 |
| 1316039522 | The Bernice Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 417 Main St, Bernice, LA 71222 | 2006-09-28 |
| 1831144021 | Bernice Medical Associates,llc | Family Medicine | 402 Second St., Bernice, LA 71222 | 2006-05-24 |
| 1881644938 | Mark Cal Shaw | Emergency Medicine | 402 Second St., Bernice, LA 71222 | 2006-05-11 |
| Find all providers in zip 71222 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113124 | Rebirth Mental Health Services LLC | Nurse Practitioner | 2116 Gause Blvd W Ste E, Slidell, LA 70460-4120 | 2020-08-03 |
| 1427668748 | Julie Susann Dyrek | Nurse Practitioner | 1 Lakeshore Dr Ste 1830, Lake Charles, LA 70629-0114 | 2020-08-01 |
| 1376169979 | Nancy Ariwodo | Nurse Practitioner | 225 Rue La France, Lafayette, LA 70508-1565 | 2020-06-19 |
| 1578183208 | Donald Glyn Gardner II | Nurse Practitioner | 324 Blue Fox Cir, Haughton, LA 71037-7707 | 2020-04-22 |
| 1629604129 | Raelyn Marie Plauche | Nurse Practitioner | 1951 Florida Ave Sw Ste D&e, Denham Springs, LA 70726-4947 | 2020-03-16 |
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1114558715 | Danielle J Threatts Aprn LLC | Nurse Practitioner | 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 | 2020-02-01 |
| 1992359848 | Harold G Frizzell Psychiatric Services LLC | Nurse Practitioner | 300 Thompson Loop, Lafayette, LA 70506-2820 | 2019-07-29 |
| 1598227779 | Candyce Brown | Nurse Practitioner | 333 Dr Michael Debakey Dr Ste 220, Lake Charles, LA 70601-5888 | 2019-04-04 |
| 1659835346 | Cassandra Thomas-jingles Psychiatric Nurse Practitioner, LLC. | Nurse Practitioner | 156 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2019-01-26 |
| 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.