TERESA D GIBSON (NPI# 1407840473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407840473 |
| Entity Type | Individual |
| Full Name | TERESA D GIBSON |
| Credential | ANP GNP |
| Practice Address |
91 Enterprise Dr Rocky Mount NC 27804 |
| Mailing Address |
Po Box 7200 Rocky Mount NC 27804-0200 |
| Practice Telephone | 2524513200 |
| Practice Fax Number | 2529373107 |
| Mailing Telephone | 2524513200 |
| Mailing Fax Number | 2529376278 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
600092 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
600092 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | 500005758 | 01 |
| NC | BCBS OF NC | 1850C | 01 |
| NC | 7000423 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Nash Medical Arts Mall, Rocky Mount, NC 278041410 | 2524513200 | 2529376278 |
| 921 N Winstead Ave, Rocky Mount, NC 278048749 | 2529370300 | 2529373108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851802581 | Teresa Ann Gibson | Doula | 23930 Ocean Ave Apt 269, Torrance, CA 90505-5874 | 2017-10-20 |
| 1033419478 | Teresa Gibson | Occupational Therapy Assistant | 581 Park Pl, Brooklyn, NY 11238-4744 | 2010-11-02 |
| 1548803877 | Teresa L Gibson | Nurse Practitioner | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2019-10-18 |
| 1861548232 | Teresa Denise Gibson | Marriage & Family Therapist | 2425 Bisso Ln, Suite 200, Concord, CA 94520-4897 | 2007-01-26 |
| 1700868213 | Teresa R Gibson | Nurse Practitioner | 114 Nationwide Dr, Lynchburg, VA 24502-4271 | 2005-11-18 |
| Street Address |
91 ENTERPRISE DR |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896618 | Grace M Jere | Internal Medicine | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2005-07-22 |
| 1316555311 | Gloria Lashanda Tabron | Registered Nurse | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2020-07-16 |
| 1548895469 | Paige Elizabeth Emig | Nurse Practitioner | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2020-03-11 |
| 1053805978 | Anne Davis O'hara | Nurse Practitioner | 91 Enterprise Dr, Rocky Mount, NC 27804 | 2018-06-15 |
| 1144741794 | Kaitlin Mize Ruffin | Nurse Practitioner | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2017-07-05 |
| 1770895708 | Suchita B Gade | Pediatrics | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2010-07-07 |
| 1760702815 | Mariah Mann Mckellar | Pediatrics | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2010-06-10 |
| 1295930345 | Lisa Bellofiore-plonski | Pediatrics | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2007-06-19 |
| 1669563524 | Julia Self Watkins | Nurse Practitioner | 91 Enterprise Dr, Rocky Mount, NC 27804 | 2006-09-27 |
| 1518907377 | Beth A Edgerton | Physician Assistant | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
| 1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
| 1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
| 1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
| 1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
| 1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
| 1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
| 1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
| Find all providers in zip 27804 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659319325 | Wincare, Inc. | Nurse Practitioner | 1558 S. Winstead Ave, Rocky Mount, NC 27803-1650 | 2006-06-03 |
| 1952871055 | Glenda Pulliam | Nurse Practitioner | 111 S Fairview Rd, Rocky Mount, NC 27801-6971 | 2018-11-30 |
| 1578946950 | Tawana Hunter | Nurse Practitioner | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2015-07-03 |
| 1568705820 | Phyllis Smith Hayes | Nurse Practitioner | 901 N Winstead Ave, Rocky Mount, NC 27804-8467 | 2013-04-04 |
| 1225302961 | Linda Prezioso | Nurse Practitioner | 804 English Rd, Rocky Mount, NC 27804-6032 | 2012-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260451 | Jo Ellen Inman-puckett | Nurse Practitioner | 31 Swiss Pine Ct, Spruce Pine, NC 28777-8704 | 2020-09-16 |
| 1558975417 | Marguerite Swick | Nurse Practitioner | 15900 Riverpointe Dr, Charlotte, NC 28278-8886 | 2020-09-08 |
| 1134730864 | Blueh Iv Health Services Pllc | Nurse Practitioner | 9625 David Taylor Dr, Charlotte, NC 28262-2362 | 2020-08-14 |
| 1255959573 | Kathryn Allman | Nurse Practitioner | 104 Brighton Ct, Chapel Hill, NC 27516-9005 | 2020-07-13 |
| 1326665142 | Mary Ann Todd | Nurse Practitioner | 5508 7 Lks W, West End, NC 27376-9336 | 2020-06-27 |
| 1538785118 | Amanda S. Morgan | Nurse Practitioner | 600 Hospital Dr Ste 9, Clyde, NC 28721-8046 | 2020-06-19 |
| 1508480823 | Lauren Elizabeth Barkley | Nurse Practitioner | 10207 Cerny St Ste 200, Raleigh, NC 27617-4880 | 2020-06-02 |
| 1265055271 | Pamela Duncan | Nurse Practitioner | 120 N Medical Dr Unc-ch Son: Carrington Hall, Chapel Hill, NC 27599-7460 | 2020-05-26 |
| 1689297715 | Heather Bryce Futrell | Nurse Practitioner | 115 Joe Kanaris Rd, Rockingham, NC 28379-8063 | 2020-05-23 |
| 1871116103 | Lynn Chanell Hicks | Nurse Practitioner | 3221 Nontucket Ln, Hope Mills, NC 28348-9054 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY MOUNT |
| Zip Code | 27804 |
Please comment or provide details below to improve the information on TERESA D 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.