NINA GIBSON (NPI# 1609307602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609307602 |
Entity Type | Individual |
Full Name | NINA GIBSON |
Practice Address |
16248 Victor St Victorville CA 92395-3934 |
Practice Telephone | 7602437151 |
Mailing Telephone | 7602437151 |
Enumeration Date | 2017-03-22 |
Last Update Date | 2017-03-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1245550317 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740827294 | Nina Gibson | Specialist/Technologist | 1804 Monterey Ave, Berkeley, CA 94707-2525 | 2019-12-03 |
Street Address |
16248 VICTOR ST |
City | VICTORVILLE |
State | CA |
Zip Code | 92395-3934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225149198 | Mark Alan Erickson Sr. | Marriage & Family Therapist | 16248 Victor St, Victorville, CA 92395-3934 | 2006-08-31 |
1922667120 | Sabrina Gonzalez | Counselor | 16248 Victor St, Victorville, CA 92395-3934 | 2019-06-11 |
1659934842 | Savannah Nicolle Morales | Counselor | 16248 Victor St, Victorville, CA 92395-3934 | 2019-04-15 |
1639732779 | Julia May Union | Counselor | 16248 Victor St, Victorville, CA 92395-3934 | 2019-04-15 |
1184196867 | John Warren Snider | Counselor | 16248 Victor St, Victorville, CA 92395-3934 | 2018-12-19 |
1992218796 | Robert Armando Hernandez Jr. | Counselor | 16248 Victor St, Victorville, CA 92395-3934 | 2017-11-15 |
1053849356 | John Musquiz | Counselor | 16248 Victor St, Victorville, CA 92395-3934 | 2017-05-31 |
1598293946 | Amy Kathleen Harrington | Counselor | 16248 Victor St, Victorville, CA 92395-3934 | 2017-05-30 |
1871021238 | Frankie Corral | Counselor | 16248 Victor St, Victorville, CA 92395-3934 | 2017-05-30 |
1316482508 | Timothy Trenholm I | Counselor | 16248 Victor St, Victorville, CA 92395-3934 | 2016-12-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
Find all providers in zip 92395 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063020717 | Phillip Tardanico Lcsw and Associates | Counselor | 15000 7th St Ste 201, Victorville, CA 92395-3850 | 2020-07-20 |
1942853114 | Mayra Maritza Serapia | Counselor | 14805 Saguaro St, Victorville, CA 92394-5593 | 2019-07-17 |
1679073886 | Maira Kessler | Counselor | 13258 Aspen Way, Victorville, CA 92392-5524 | 2018-02-14 |
1578003216 | Natasha Townsend | Counselor | 13422 Foxborough Way, Victorville, CA 92392-5557 | 2017-02-28 |
1902357874 | Samuel Alexander Johnson | Counselor | 16755 Hughes Rd, Victorville, CA 92395-4563 | 2016-10-17 |
1689121907 | Nichole Renee Allen | Counselor | 16428 Victor Street, Victorville, CA 92395-3934 | 2016-09-02 |
1063871291 | Phillip George Tardanico | Counselor | 15409 Anacapa Rd Ste A, Victorville, CA 92392-2463 | 2016-02-16 |
1962825505 | Micah Bass | Counselor | 16200 Bear Valley Rd Ste 110, Victorville, CA 92395-8708 | 2014-02-03 |
1467701318 | Margarita Renee Ortega | Counselor | 16224 Tawney Ridge Lane, Victorville, CA 92394 | 2012-09-06 |
1598960049 | Tina Dyane Perry | Counselor | 13333 Palmdale Road, Victorville, CA 92392-2535 | 2007-06-15 |
Find all providers in VICTORVILLE |
City | VICTORVILLE |
Zip Code | 92395 |
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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.