TANYA GIBBS (NPI# 1710445754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710445754 |
| Entity Type | Individual |
| Full Name | TANYA GIBBS |
| Credential | FNP |
| Practice Address |
1774 Metromedical Dr Fayetteville NC 28304-3861 |
| Practice Telephone | 9105683903 |
| Practice Fax Number | 9105683908 |
| Mailing Telephone | 9105683903 |
| Mailing Fax Number | 9105683908 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5011560 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1962494377 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538531637 | Tanya Gibbs | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19347 Beaver Dam Rd, Lewes, DE 19958-5539 | 2015-10-28 |
| 1215229950 | Tanya Gibbs | Licensed Practical Nurse | 140 Rockefeller Rd, Delmar, NY 12054-2237 | 2011-05-13 |
| 1831321710 | Tanya Michelle Gibbs | Speech-Language Pathologist | 5519 Dory Dr, Antioch, TN 37013-2455 | 2009-08-11 |
| Street Address |
1774 METROMEDICAL DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494377 | Chukwuemeka Ogbonnaya Chima | Internal Medicine | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2005-08-22 |
| 1558992875 | Brandon Scott Lehr | Physician Assistant | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2020-01-27 |
| 1568925592 | Maria Victoria Rosario Pacana Lim | Physician Assistant | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2019-04-08 |
| 1962897587 | Renaldo O'neal Neeley | Internal Medicine | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2015-03-31 |
| 1376965988 | Thomas Radford Brown Jr. | Physician Assistant | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2014-01-16 |
| 1396037883 | Elizabeth Ebere Onyeaso | Internal Medicine | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2011-05-03 |
| 1376636654 | Horace William Miller Iv | Plastic Surgery | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2006-10-01 |
| 1093808388 | Fayetteville Plastic Surgery Specialists, Pa | Plastic Surgery | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2006-10-01 |
| 1861484107 | Katherine D Mouser | Physician Assistant | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| 1720690167 | Stephen Arthur Lepak | Nurse Practitioner | 6871 Appleton Dr, Fayetteville, PA 17222-9383 | 2020-08-18 |
| 1750990255 | Towauna Daya | Nurse Practitioner | 1338 Redwine Rd, Fayetteville, GA 30215-2509 | 2020-07-30 |
| 1316555642 | Constance Ofundem Takang | Nurse Practitioner | 110 Emerald Lake Ct, Fayetteville, GA 30215-7747 | 2020-07-22 |
| 1851916472 | Breanna Mills | Nurse Practitioner | 2623 N Fire Fly Catch Dr, Fayetteville, AR 72704-6313 | 2020-06-09 |
| 1922621069 | Laura Sarai Perez | Nurse Practitioner | 480 Lees Lake Rd, Fayetteville, GA 30214-3106 | 2020-05-23 |
| 1902431125 | Crystal Baker English | Nurse Practitioner | 113 Old Bethel Rd, Fayetteville, TN 37334-6186 | 2020-03-09 |
| 1568092708 | Stephanie Elizabeth Fields | Nurse Practitioner | 1265 Highway 54 Ste 402, Fayetteville, GA 30214-4537 | 2020-01-15 |
| 1437616364 | Andrea Teal Bergman | Nurse Practitioner | Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 | 2019-02-27 |
| 1639634447 | Arica Adams-gro'ce | Nurse Practitioner | 4028 Lifestyle Rd, Fayetteville, NC 28312-9335 | 2019-02-06 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on TANYA GIBBS.
| 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.