MR. KENT DOUGLAS GIBSON (NPI# 1386861375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386861375 |
| Entity Type | Individual |
| Full Name | MR. KENT DOUGLAS GIBSON |
| Credential | L.I.S.W. |
| Practice Address |
1500veranda Dr. Se Rio Rancho NM 87124-3897 |
| Mailing Address |
3704 Arboleda Senda, Ne Albuquerque NM 87111 |
| Practice Telephone | 5059940229 |
| Mailing Telephone | 5052753134 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
I-3997 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1500VERANDA DR. SE |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-3897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245709161 | John Nicholas Olson | Social Worker | 6800 Franklin Ne, Rio Rancho, NM 87144-7647 | 2018-11-20 |
| 1952643090 | Jessica Lynn Floersheim | Social Worker | 1600 Loma Colorado Blvd Ne, Rio Rancho, NM 87144-7708 | 2013-03-26 |
| 1205087301 | Julie E Ackron | Social Worker | 500 Laser Road, Rio Rancho, NM 87124-4517 | 2008-10-07 |
| 1154570968 | Lori A Smith | Social Worker | 6800 Franklin Rd. Ne, Rio Rancho, NM 87144 | 2008-09-17 |
| 1336367093 | Linda J Romero | Social Worker | 4601 Pepe Ortiz Rd Se, 4601 Pepe Ortiz, Rio Rancho, NM 87124-1207 | 2007-04-20 |
| 1740407188 | Dawn Cheryl Raymond | Social Worker | 4477 9th Avenue Ne, Rio Rancho, NM 87124 | 2007-04-19 |
| 1528182722 | Suzen Stover James | Social Worker | 1600 40th Street Ne, Rio Rancho, NM 87144 | 2007-03-16 |
| 1497881767 | Lisa A Schultz | Social Worker | 4101 Montreal Loop Ne, Rio Rancho, NM 87144-8455 | 2007-02-23 |
| 1992850325 | Racheal Flores Gonzales | Social Worker | 500 Laser Dr Ne, Rio Rancho, NM 87124-4517 | 2007-01-24 |
| 1124627633 | Angela Wiese | Social Worker | 500 Laser Rd Ne, Rio Rancho, NM 87124-4517 | 2020-10-26 |
| Find all providers in RIO RANCHO | ||||
| City | RIO RANCHO |
| Zip Code | 87124 |
Please comment or provide details below to improve the information on MR. KENT DOUGLAS 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.