MRS. LINDA ELIZABETH GIBSON (NPI# 1265693584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265693584 |
| Entity Type | Individual |
| Full Name | MRS. LINDA ELIZABETH GIBSON |
| Practice Address |
180 Coastal Ln Jacksonville NC 28546-6761 |
| Practice Telephone | 9104556724 |
| Practice Fax Number | 9103465489 |
| Mailing Telephone | 9104556724 |
| Mailing Fax Number | 9103465489 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2015-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-067-026 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408956 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063950368 | Linda Gibson | Physical Therapist | 1598 Pine Spring Dr, Bayfield, CO 81122-8611 | 2017-02-07 |
| 1144462276 | Linda Gibson | Occupational Therapist | 873 Ellen Dr, Key Largo, FL 33037-2769 | 2009-04-06 |
| 1316986110 | Linda Diane Gibson | Nurse Anesthetist, Certified Registered | 7610n Stemmons Fwy 500, Dallas, TX 75247-4251 | 2006-06-06 |
| 1790301836 | Linda M Gibson | Registered Nurse | 30 E Apple St, Dayton, OH 45409-2939 | 2020-06-24 |
| 1174147367 | Linda Gibson | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-06-03 |
| 1053678037 | Linda L. Gibson | Registered Nurse | 10535 Hospital Way, Mather, CA 95655-4200 | 2012-04-16 |
| 1629370275 | Linda Lee Gibson | Psychoanalyst | 7751 Carondelet Ave, Ste. 605, Clayton, MO 63105-3316 | 2010-12-01 |
| 1376744318 | Linda Gibson | Counselor | 405 N Broadway St, Fresno, CA 93701-1513 | 2007-05-29 |
| 1851471551 | Linda Lee Gibson | Counselor | 2300 Genoa Business Park Dr Ste 180, Advanced Counseling Services, Brighton, MI 48114 | 2006-10-17 |
| 1780774810 | Linda Ann Gibson | Nurse Practitioner | 2002 Holcomb Blvd., Rehab Care Line-2a, Houston, TX 77030-4298 | 2006-10-12 |
| Street Address |
180 COASTAL LN |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-6761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124184452 | Annas Care Inc. | Clinic/Center | 180 Coastal Ln, Jacksonville, NC 28546-6761 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184932956 | L'arche Harbor House, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 700 Arlington Rd N, Jacksonville, FL 32211-7306 | 2010-09-15 |
| 1649426065 | Marjorie G. Cupp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1545 Parkwood St, Jacksonville, FL 32207-5476 | 2008-08-18 |
| 1447382387 | Houseofdavid | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 209 Toni Dr, Jacksonville, NC 28546-4803 | 2007-03-09 |
| 1528198892 | Hampton Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 100 Cypress Ct, Jacksonville, NC 28540-4029 | 2007-03-06 |
| 1497882195 | Genesis Therapeutic Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 99 Village Dr Ste 12, Jacksonville, NC 28546-7060 | 2007-02-28 |
| 1831224849 | Irving Family Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 112 Lance Ct, Jacksonville, NC 28546-8640 | 2007-02-22 |
| 1639204233 | Moore Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 232 Newport Dr, Jacksonville, NC 28540-4005 | 2007-02-22 |
| 1720141542 | National Mentor Healthcare,llc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3615 Hodges Blvd, Jacksonville, FL 32224-1288 | 2006-12-19 |
| 1760971923 | Latrena M Thomas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14091 Summer Breeze Dr E, Jacksonville, FL 32218-8913 | 2018-05-03 |
| 1154465243 | Bushnell Dix Hill Jones 694110 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1201 S Main St, Jacksonville, IL 62650-3339 | 2007-02-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on MRS. LINDA ELIZABETH 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.