MS. TERESA L GIBSON (NPI# 1548803877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548803877 |
| Entity Type | Individual |
| Full Name | MS. TERESA L GIBSON |
| Credential | APRN, PMHNP-C |
| Practice Address |
102 Medical Center Dr Hazard KY 41701-9421 |
| Mailing Address |
179 Grays Br Jenkins KY 41537-8701 |
| Practice Telephone | 6064396713 |
| Practice Fax Number | 6064396710 |
| Mailing Telephone | 6066344710 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1082663 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 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 |
| 1407840473 | Teresa D Gibson | Nurse Practitioner | 91 Enterprise Dr, Rocky Mount, NC 27804 | 2005-09-07 |
| Street Address |
102 MEDICAL CENTER DR |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-9421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461465 | Shirley Mohren-graves | Counselor | 102 Medical Center Dr, Hazard, KY 41701 | 2005-07-21 |
| 1891338299 | Kendra N Wiseman | Nurse Practitioner | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2019-10-18 |
| 1073917746 | Jerrina Gusler | Nurse Practitioner | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2014-10-09 |
| 1780918573 | Suzette Trent | Nurse Practitioner | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2009-09-25 |
| 1912162611 | Farhan Sher Fazal | Psychiatry & Neurology | 102 Medical Center Dr, Appalachian Regional Health Medical Center, Hazard, KY 41701-9421 | 2008-07-22 |
| 1689719122 | Hazard Arh Psychiatric Center | Psychiatry & Neurology | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2007-02-21 |
| 1992816920 | Alberto Blasi | Psychiatry & Neurology | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2006-08-31 |
| 1891806550 | Ramanakar V. Tiruchinapalli | Psychiatry & Neurology | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2006-08-31 |
| 1215046586 | Osman M Saeed | Psychiatry & Neurology | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| 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 |
|---|---|---|---|---|
| 1245293711 | Kay Delphia Taylor | Nurse Practitioner | 102 Medical Center Drive, Hazard, KY 41701 | 2006-04-07 |
| 1891338299 | Kendra N Wiseman | Nurse Practitioner | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2019-10-18 |
| 1295397800 | Evelyn Mullins | Nurse Practitioner | 210 Black Gold Blvd Ste 106, Hazard, KY 41701-2620 | 2019-07-03 |
| 1043728124 | Christina Ruth Martin | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2018-01-11 |
| 1104343268 | Tammy Nicole Bailey | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2017-08-29 |
| 1073917746 | Jerrina Gusler | Nurse Practitioner | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2014-10-09 |
| 1457792533 | Stephanie Strand | Nurse Practitioner | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2013-07-17 |
| 1295024297 | Ashley Cornett | Nurse Practitioner | 1908 N Main St, Hazard, KY 41701-2505 | 2011-03-31 |
| 1336472687 | Tammy Yvonne Books | Nurse Practitioner | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2009-09-17 |
| 1114107307 | Shannon Martha Herald Combs | Nurse Practitioner | 145 Citizens Ln, Suite B, Hazard, KY 41701-1320 | 2007-11-06 |
| Find all providers in HAZARD | ||||
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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.