ROBERT GIBSON (NPI# 1336686476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336686476 |
| Entity Type | Individual |
| Full Name | ROBERT GIBSON |
| Practice Address |
8200 E Jacque Dr Prescott Valley AZ 86314-6172 |
| Mailing Address |
337 Robinson Dr. Unit #15 Prescott AZ 86303 |
| Practice Telephone | 9284429205 |
| Practice Fax Number | 9284407600 |
| Mailing Telephone | 9289106864 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC1042 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184968521 | Robert Lillie Gibson IIi | Pharmacist | 635 Beechwood Dr, Thomson, GA 30824-1869 | 2012-11-26 |
| 1174710024 | Robert Gibson | Chiropractor | 6128 Bandera Rd, San Antonio, TX 78238-1642 | 2007-09-25 |
| 1679777676 | Robert C Gibson | Nurse Practitioner | 3107 Milford Ter, Hamburg, NY 14075-2436 | 2007-06-13 |
| 1083788350 | Robert Lawrence Gibson | Dentist | 2303 N Coral Canyon Blvd #202, Washington, UT 84780 | 2006-11-20 |
| 1306947205 | Robert Bruce Gibson | Social Worker | 1500 E Woodrow Wilson Ave # 116a4, Jackson, MS 39216-5116 | 2006-09-26 |
| 1386749406 | Robert Douglas Gibson | Chiropractor | 12424 Big Timber Dr, Unit 4, Conifer, CO 80433-6410 | 2006-09-13 |
| 1366452922 | Robert G. Gibson | Pediatrics | 692 Ritchie Hwy # A, Severna Park, MD 21146-3919 | 2006-08-08 |
| 1205232469 | Robert Gibson | Counselor | 507 E College St, Iowa City, IA 52240-5115 | 2014-11-14 |
| 1861806598 | Robert Gibson | Psychologist | 7921 Southpark Plz Ste 204, Littleton, CO 80120 | 2014-06-20 |
| 1962848382 | Robert B Gibson | Internal Medicine | 511 Medical Plaza Dr Ste 101, Leesburg, FL 34748-7328 | 2013-05-13 |
| Street Address |
8200 E JACQUE DR |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-6172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629256433 | Daniel Bejar | Counselor | 8200 E Jacque Dr, Prescott Valley, AZ 86314-6172 | 2008-02-04 |
| 1831700988 | Amanda Chance | Massage Therapist | 8200 E Jacque Dr, Prescott Valley, AZ 86314-6172 | 2020-08-12 |
| 1225655541 | Deborah Lynn Hunsicker | Massage Therapist | 8200 E Jacque Dr, Prescott Valley, AZ 86314-6172 | 2020-07-02 |
| 1316564735 | Jonathan Dunagan | Massage Therapist | 8200 E Jacque Dr, Prescott Valley, AZ 86314-6172 | 2020-07-01 |
| 1992345631 | Melissa Mclemore | Massage Therapist | 8200 E Jacque Dr, Prescott Valley, AZ 86314-6172 | 2020-01-10 |
| 1851947436 | Wannapa Kasuwan | Massage Therapist | 8200 E Jacque Dr, Prescott Valley, AZ 86314-6172 | 2019-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073179644 | Starr W Denison | Counselor | 8833 N Grass Valley Ln, Prescott Valley, AZ 86315-9232 | 2019-05-19 |
| 1578712261 | Kathleen L. Baker | Counselor | 7600 E Florentine Rd, Prescott Valley, AZ 86314-1295 | 2008-09-17 |
| 1629256433 | Daniel Bejar | Counselor | 8200 E Jacque Dr, Prescott Valley, AZ 86314-6172 | 2008-02-04 |
| 1871567891 | Susan K Strong | Counselor | 8591 E Florentine Rd, Suite D, Prescott Valley, AZ 86314-8947 | 2006-02-15 |
| 1821470956 | Beth Slothower | Counselor | 3343 N Windsong Dr, Prescott Valley, AZ 86314-1213 | 2015-06-25 |
| 1558743633 | Virginia Lacek | Counselor | 3343 N Windsong Dr, Prescott Valley, AZ 86314-1213 | 2015-06-24 |
| 1871835090 | Linda Marie Paoluccio | Counselor | 3347 N Windsong Dr, Prescott Valley, AZ 86314-2283 | 2013-03-26 |
| 1609004167 | Community Medical Services Iv LLC | Counselor | 3050 N Navajo Dr, Prescott Valley, AZ 86314-8663 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534946 | Jodie Lynn Gonzalez | Counselor | 20430 W Carla Vista, Buckeye, AZ 85326-4698 | 2020-10-06 |
| 1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
| 1891300299 | Roundsville Drug and Alcohol Treatment of Arizona | Counselor | 610 N Bagby Dr, Prescott, AZ 86301-2588 | 2020-09-11 |
| 1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
| 1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
| 1316559644 | Pamela Mcrae | Counselor | 17611 W Pershing St, Surprise, AZ 85388-5024 | 2020-08-18 |
| 1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
| 1619588209 | Teri Sebastian | Counselor | 240 S Montezuma St Ste 201e, Prescott, AZ 86303-4712 | 2020-08-16 |
| 1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
| 1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
Please comment or provide details below to improve the information on ROBERT 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.