ERICA J GIBSON (NPI# 1720158934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720158934 |
| Entity Type | Individual |
| Full Name | ERICA J GIBSON |
| Credential | MD |
| Practice Address |
1 S Prospect St 3rd Floor Burlington VT 05401-3456 |
| Practice Telephone | 8028474696 |
| Practice Fax Number | 8028478207 |
| Mailing Telephone | 8028474696 |
| Mailing Fax Number | 8028478207 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2014-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 231907 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
0420012903 | VT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932101631 | Erica Ellis Gibson | Family Medicine | 3004 Gordonville Rd, Cape Girardeau, MO 63703-5008 | 2005-08-11 |
| 1790161727 | Erica L Gibson | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2015-07-31 |
| 1235522780 | Erica Gibson | Registered Nurse | 205 Westport Dr Ste 1, Cabot, AR 72023-3657 | 2015-03-09 |
| Street Address |
1 S PROSPECT ST 3RD FLOOR |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325601 | Joseph A Messina | Psychiatry & Neurology | 1 S Prospect St, Burlington, VT 05401-3456 | 2005-08-31 |
| 1144876863 | Emily Scribner | Nurse Practitioner | 1 S Prospect St, Burlington, VT 05401-3456 | 2019-08-19 |
| 1538724562 | Matthew Albaugh | Psychologist | 1 S Prospect St, Burlington, VT 05401-3456 | 2019-05-06 |
| 1780249144 | Susan Meyer | Social Worker | 1 S Prospect St, Burlington, VT 05401-3456 | 2019-05-01 |
| 1700355914 | Michaela Kasikova Heysler | Pharmacist | 1 S Prospect St, Burlington, VT 05401-3456 | 2018-11-16 |
| 1740798453 | Pamela Swift | Psychologist | 1 S Prospect St, Burlington, VT 05401-3456 | 2018-01-16 |
| 1235657131 | Elizabeth Mcdonald | Nurse Practitioner | 1 S Prospect St, Burlington, VT 05401-3456 | 2017-08-31 |
| 1467983312 | Hillary Anderson | Pediatrics | 1 S Prospect St, Burlington, VT 05401-3456 | 2017-03-22 |
| 1831542604 | Kristina Foreman | Student in an Organized Health Care Education/Training Program | 1 S Prospect St, Department of Psychiatry Uvm, Burlington, VT 05401-3456 | 2016-07-18 |
| 1841640554 | Michael Sheppard | Counselor | 1 S Prospect St, Burlington, VT 05401-3456 | 2016-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609966647 | Robert W Little | Pediatrics | 2505 S Mebane St, Suite A, Burlington, NC 27215-6385 | 2006-10-13 |
| 1366641086 | Gregory Connolly | Pediatrics | 128 Lakeside Ave, Suite 115, Burlington, VT 05401-4939 | 2007-07-12 |
| 1902002827 | Jameelah Ayesha Melton | Pediatrics | 530 W Webb Ave, Burlington, NC 27217-3706 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083759708 | Frederick C Holmes | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2007-02-20 |
| 1770682106 | Miriam Blodgett Tatum | Pediatrics | 159 Main Street, Derby Line, VT 05830 | 2006-09-22 |
| 1053369017 | Harold Taylor Yates Jr. | Pediatrics | 91 S Main St, St Albans, VT 05478-2209 | 2006-05-04 |
| 1881253714 | Gussie Belisle | Pediatrics | 44 Collins Dr Ste 202, Middlebury, VT 05753-8502 | 2019-06-13 |
| 1699335547 | Dayna Stimson | Pediatrics | 44 Collins Dr Ste 202, Middlebury, VT 05753-8502 | 2019-06-13 |
| 1477935716 | Upper Valley Pediatrics, Pllc | Pediatrics | 331 Upper Pln, Bradford, VT 05033-9207 | 2015-06-23 |
| 1336278092 | Mousetrap Pediatrics PC | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2007-03-05 |
| 1215065032 | Deanne Haag | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2007-03-01 |
| 1275661092 | Heidi Zvolensky | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2007-03-01 |
| 1073641890 | Roya Mansoorani | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on ERICA J 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.