MARY J GIBSON (NPI# 1790974723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790974723 |
| Entity Type | Individual |
| Full Name | MARY J GIBSON |
| Credential | NP |
| Practice Address |
2117 Hartford Rd Hampton VA 23666-2408 |
| Practice Telephone | 7578254273 |
| Practice Fax Number | 7578254276 |
| Mailing Telephone | 7578254273 |
| Mailing Fax Number | 7578254276 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2010-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
0024167301 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509662 | Mary Yvette Gibson | Physical Therapy Assistant | 307 Boush St, Roper, NC 27970 | 2019-07-09 |
| 1184003782 | Mary Gibson | Social Worker | 25 Hudson Street, Kinderhook, NY 12106-0543 | 2015-05-28 |
| 1104148030 | Mary Gibson | Nurse's Aide | 2616 Vance Ave, Wheeling, WV 26003-7240 | 2010-02-19 |
| 1912176090 | Mary Hope Gibson | Nurse Practitioner | Moffett Hall Adams Street, Radford University Student Health, Radford, VA 24142 | 2008-02-22 |
| 1699714907 | Mary E Gibson | Nurse Practitioner | 4749 Lincoln Mall Dr Ste 204, Matteson, IL 60443-3806 | 2006-06-05 |
| 1033774286 | Mary Gibson | Pharmacist | 1920 S Chelton Rd, Colorado Springs, CO 80916-5304 | 2019-05-03 |
| 1922583434 | Mary Celeste Gibson | Counselor | 9938 Airline Hwy, Baton Rouge, LA 70816-8193 | 2018-10-01 |
| 1114380920 | Mary Gibson | Counselor | 1088 Wasserman Way, Suite C, Batavia, OH 45103-1974 | 2016-03-30 |
| 1205216579 | Mary Elizabeth Gibson | Orthopaedic Surgery | 1222 S Orange Ave, 5th Floor, Orlando, FL 32806-1215 | 2015-06-02 |
| 1942631874 | Mary Gibson | Registered Nurse | 700 S Parker Dr, Suite 7, Florence, SC 29501-6059 | 2013-12-03 |
| Street Address |
2117 HARTFORD RD |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073559407 | Harriett N Jones | Family Medicine | 2117 Hartford Rd, Hampton, VA 23666-2408 | 2006-06-22 |
| 1194812719 | Family Practice of Hampton Roads | Family Medicine | 2117 Hartford Rd, Hampton, VA 23666-2408 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710498035 | Venesha Lorraine Scott | Nurse Practitioner | 12001 Lovejoy Crossing Blvd, Hampton, GA 30228-5985 | 2017-10-12 |
| 1720490386 | Kimberly Mckissack | Nurse Practitioner | 100 Emancipation Dr, Hampton, VA 23667-3302 | 2014-05-29 |
| 1124224746 | Wanda Renee Mcclellan | Nurse Practitioner | 402 South Lee Street, Hampton, AR 71744-0851 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948079 | Alissa Levine Wong | Nurse Practitioner | 8301 Arlington Blvd Ste 100, Fairfax, VA 22031-2902 | 2020-10-06 |
| 1912514209 | Kala Rutherford Stapleton | Nurse Practitioner | 1800 Combs Rd Ste 12, Pennington Gap, VA 24277-1808 | 2020-09-30 |
| 1689287583 | Teela J Walker | Nurse Practitioner | 250 Craftsman Cir, Suffolk, VA 23434-1530 | 2020-08-28 |
| 1093327876 | Jasmine Jones | Nurse Practitioner | 2828 Candlewood Cir, Chesapeake, VA 23324-3936 | 2020-08-21 |
| 1174140529 | Esther Chung | Nurse Practitioner | 9806 Gabon Ct, Burke, VA 22015-3111 | 2020-07-01 |
| 1346864725 | Karen Guidry | Nurse Practitioner | 2102 Broad Branch Cir, Richmond, VA 23238-6459 | 2020-06-02 |
| 1588285662 | Lindley Walker Abernathy | Nurse Practitioner | 25506 Courthouse Rd, Stony Creek, VA 23882-2042 | 2020-04-30 |
| 1952935777 | Janice Oh | Nurse Practitioner | 7700 Little River Tpke Ste 102, Annandale, VA 22003-2400 | 2020-03-02 |
| 1003449448 | Yasmine M Kletter | Nurse Practitioner | 15213 Addison Ln, Woodbridge, VA 22193-6223 | 2020-02-13 |
| 1770113763 | Amy Armstead | Nurse Practitioner | 620 Keswick Rd, Colonial Heights, VA 23834-1729 | 2020-01-19 |
| Find all providers with the same taxonomy | ||||
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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.