STEPHANIE GIBSON (NPI# 1699309708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699309708 |
| Entity Type | Individual |
| Full Name | STEPHANIE GIBSON |
| Credential | PA-C |
| Practice Address |
3801 Scott and White Dr Killeen TX 76543-5252 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2546801100 |
| Practice Fax Number | 2546993835 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA13453 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587767 | Stephanie Gibson | Nurse Practitioner | 5803 W Murfield Dr, Rogers, AR 72758-4565 | 2020-01-24 |
| 1174175731 | Stephanie Samantha Gibson | Occupational Therapist | 6760 Fox Creek Dr, Cumming, GA 30040-6662 | 2019-07-14 |
| 1427407501 | Stephanie Gibson | Community Health Worker | 600b N Lake Dr, Salem, SC 29676-2406 | 2016-06-08 |
| 1710186309 | Stephanie Ann Gibson | Massage Therapist | 515 B St Ne, Auburn, WA 98002-4003 | 2007-07-13 |
| 1568597094 | Stephanie Gibson | Pharmacist | 155 East Broad Street, Suite 1700, Columbus, OH 43215 | 2007-02-23 |
| 1619065141 | Stephanie Francis Gibson | Family Medicine | 85 Benedict Ave, Suite 101, Norwalk, OH 44857-2112 | 2006-10-10 |
| 1801495494 | Stephanie Gibson | Nurse Practitioner | 12016 N Radio Station Rd, Seneca, SC 29678-1143 | 2020-10-23 |
| 1730711524 | Stephanie Gibson | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-02-10 |
| 1306317508 | Stephanie Gibson | Behavior Technician | 1801 Excise Ave Ste 116, Ontario, CA 91761-8557 | 2018-12-16 |
| 1629543384 | Stephanie Nichole Gibson | Behavior Technician | 20101 Hamilton Ave Ste 100, Torrance, CA 90502-1351 | 2018-10-09 |
| Street Address |
3801 SCOTT AND WHITE DR |
| City | KILLEEN |
| State | TX |
| Zip Code | 76543-5252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161631 | Jason Dean Ramm | Family Medicine | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2005-08-17 |
| 1043838766 | Gessica Michelle Finley | Nurse Practitioner | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2020-07-09 |
| 1891268181 | Preeti Bhakta | Nurse Practitioner | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2019-01-09 |
| 1275034480 | Danielle Lynn Wilson | Nurse Practitioner | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2018-02-22 |
| 1427570837 | Tiffany Lane Saad | Nurse Practitioner | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2017-07-07 |
| 1104284108 | Anna Dick | Nurse Practitioner | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2016-02-04 |
| 1144685017 | Nicole Leigh Champion | Nurse Practitioner | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2015-12-21 |
| 1174991814 | Jamie Michelle Johnson-varnado | Nurse Practitioner | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2015-09-11 |
| 1114394509 | Alvin Thomas Guerra | Physician Assistant | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2015-09-01 |
| 1245643949 | Preetinder Kaur Soto | Family Medicine | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2014-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146415 | 20 20 Icare Pllc | Optometrist | 3213 E Central Expressway Ste 100b, Killeen, TX 76543 | 2019-07-23 |
| 1801377627 | Pankti Shah | Physical Therapist | Rosewood Retirement Community, 5700 E. Central Texas Expy, Killeen, TX 76543 | 2018-08-29 |
| 1134648207 | Metx, LLC | Audiologist-Hearing Aid Fitter | 3210 E Central Texas Expy, Killeen, TX 76543 | 2017-09-11 |
| 1558770628 | Pm Management Killeen I Nc, LLC | Assisted Living Facility | 5701 E. Central Texas Expressway, Killeen, TX 76543 | 2014-08-04 |
| 1649688722 | Rashad Altawaty | Dentist | 2202 South W S Young Drive, Killeen, TX 76543 | 2014-08-01 |
| 1881950004 | Bradley V Culling | Anesthesiology | 3400 E Central Texas Expy Ste 1, Killeen, TX 76543 | 2012-04-02 |
| 1437386364 | Cenikor Foundation | Community/Behavioral Health | 4520 E Central Texas Expressway, #102, Killeen, TX 76543 | 2009-06-18 |
| 1851595060 | Jack Jones Hearing Centers, Inc | Audiologist | 1711 E Central Texas Expressway, Suite 108-3, Killeen, TX 76543 | 2007-06-12 |
| 1871713412 | Olga Rodgers | Speech-Language Pathologist | 2201 South Ws Young, Suite 117 A-1, Killeen, TX 76543 | 2007-04-26 |
| 1336367978 | Advanced Women's Health Center, Pa | Clinic/Center | 2201 South Ws Young Drive, Suite 114b, Killeen, TX 76543 | 2007-04-20 |
| Find all providers in zip 76543 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407303720 | Zachary Dallas | Physician Assistant | 2405 S Clear Creek Rd Ste 250, Killeen, TX 76549-5775 | 2016-09-02 |
| 1588062269 | Mark Malone, Md, Pa | Physician Assistant | 3400 E Central Texas Expy, Suite 101, Killeen, TX 76543-7325 | 2014-12-12 |
| 1205239803 | Amber Lee Kuklinski | Physician Assistant | 5407 Encino Oak Way, Killeen, TX 76542-5952 | 2014-09-27 |
| 1457787624 | Haley Fitzgerald Glasgow | Physician Assistant | 2405 S Clear Creek Rd Ste 102, Killeen, TX 76549-5775 | 2013-09-19 |
| 1952635013 | Michael Kelly Starnes | Physician Assistant | 2300 Clear Creek Rd Ste 203, Killeen, TX 76549-5404 | 2009-09-22 |
| 1952559742 | Julia Ann Anderson | Physician Assistant | 5200 Bunny Trl, Killeen, TX 76549-6930 | 2008-09-04 |
| 1558572560 | Christopher Richard Norelli | Physician Assistant | 2002 Fieldstone Dr, Killeen, TX 76549-8557 | 2007-05-24 |
| 1659433183 | Ann Arlene Slachta | Physician Assistant | Crdamc, Killeen, TX 76544 | 2006-12-14 |
| 1003849837 | Jentry Danielle Riddle | Physician Assistant | 4204 East Stan Schleuter Loop, Killeen, TX 76542-8352 | 2006-07-07 |
| 1316900624 | Patty Hicks | Physician Assistant | 2201 S W S Young Dr, Suite 111-b, Killeen, TX 76543-5317 | 2006-04-08 |
| Find all providers in KILLEEN | ||||
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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.