MRS. SHELLEY A GIBBENS


Address: 1820 Sunset Dr, San Angelo, TX 76904-6823
Phone: 3259497100

MRS. SHELLEY A GIBBENS (NPI# 1811123599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811123599
Entity Type Individual
Full Name MRS. SHELLEY A GIBBENS
Credential WHNP
Practice Address 1820 Sunset Dr
San Angelo
TX 76904-6823
Mailing Address Po Box 4123
Odessa
TX 79760-4123
Practice Telephone 3259497100
Practice Fax Number 3253437111
Mailing Telephone 4325822277
Mailing Fax Number 4323332802
Enumeration Date 2009-06-08
Last Update Date 2013-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 257285 TX Physician Assistants & Advanced Practice Nursing Providers
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
257285 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1820 SUNSET DR
City SAN ANGELO
State TX
Zip Code 76904-6823

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NPI Name Taxonomy Address Enumeration
1407342702 Mark Wandal Duncan Specialist/Technologist 2237 South Jackson, San Angelo, TX 76904 2018-07-10
1700267259 Sheila Patterson Nurse Practitioner 4251 Sunset Drive, San Angelo, TX 76904 2015-06-10
1346649316 Mason William Mcclintock Dentist 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 2014-08-15
1265855712 Lynn M. Thebo, Lcsw, Pllc Social Worker 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 2014-02-03
1487077459 Lynn Marie Thebo Social Worker 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 2014-01-28
1558646521 John Porter Parker Jr. Pharmacist 3705 Threewn Trail, San Angelo, TX 76904 2011-10-20
1568772036 Medical Alliance Group of Texas, LLC Durable Medical Equipment & Medical Supplies 2525 S Johnson Ste A, San Angelo, TX 76904 2010-10-18
1578796710 Jennifer L White Physical Therapist 2237 S. Jackson, San Angelo, TX 76904 2009-09-03
1548443203 Kelly K. Sawyer, D.d.s., P.a. Dentist 3013 W. Loop 306, San Angelo, TX 76904 2007-12-17
1023224789 D&s Residential Services Intermediate Care Facility, Mentally Retarded 1706 Idaho Avenue, San Angelo, TX 76904 2007-05-16
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043318314 Roxanne Elkins Timm Nurse Practitioner 220 E. Harris, San Angelo, TX 76903 2006-09-20

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1073127031 Jennifer Barbosa Nurse Practitioner 6065 Sports Village Rd Ste 600, Frisco, TX 75033-3591 2020-09-06
1619594744 Elm Midwifery and Womens Health LLC Nurse Practitioner 4458 Medical Dr Ste 470, San Antonio, TX 78229-3748 2020-07-06
1417571969 Viviana S Navar Nurse Practitioner 1440 George Dieter Dr # A, El Paso, TX 79936-7601 2020-06-01
1457988461 Sarah Elizabeth Higgins Nurse Practitioner 8060 Park Ln, Dallas, TX 75231-5912 2020-03-27
1235779760 Tracy Woods Nurse Practitioner 5846 Piedmont Gln, San Antonio, TX 78249-4876 2020-01-13
1801436340 Sarah Olivia Menotti Nurse Practitioner 3828 Hughes Ct Ste 104, Dickinson, TX 77539-6235 2020-01-13
1902457302 Dalia Paul Nurse Practitioner Womankind Ob-gyn, 1200 Ridge Road, Suite 3, Mcallen, TX 78503 2019-09-26
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Competitor

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City SAN ANGELO
Zip Code 76904

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Dataset Information

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.

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