ANTOINETTE D. GIBSON (NPI# 1811455546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811455546 |
Entity Type | Individual |
Full Name | ANTOINETTE D. GIBSON |
Credential | RN |
Practice Address |
15828 State Route 281 Holgate OH 43527-9776 |
Practice Telephone | 4196157015 |
Mailing Telephone | 4196157015 |
Enumeration Date | 2019-03-12 |
Last Update Date | 2019-03-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN.345902 | OH | Nursing Service Providers |
Street Address |
15828 STATE ROUTE 281 |
City | HOLGATE |
State | OH |
Zip Code | 43527-9776 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508371204 | Rachel Wells | Licensed Practical Nurse | 216 Frazier Ave, Holgate, OH 43527-9536 | 2017-12-05 |
1639540164 | Geraldine A Hernandez | Licensed Practical Nurse | 13634 County Road J, Holgate, OH 43527-9721 | 2015-10-09 |
1790925451 | Holgate Local School District | Local Education Agency (LEA) | 801 Joe E Brown Ave, Holgate, OH 43527-9802 | 2009-02-20 |
1841777059 | Myriah Leigh Rode | Speech-Language Pathologist | 801 Joe E Brown Ave, Holgate, OH 43527-9802 | 2018-07-20 |
1376903773 | Diane Nicholson | Licensed Practical Nurse | 801 Joe E Brown Ave, Holgate, OH 43527-9802 | 2016-02-26 |
1760572564 | Holgate Care Center, LLC | Skilled Nursing Facility | 600 Joe E Brown Ave, Holgate, OH 43527-9803 | 2006-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508371204 | Rachel Wells | Licensed Practical Nurse | 216 Frazier Ave, Holgate, OH 43527-9536 | 2017-12-05 |
1639540164 | Geraldine A Hernandez | Licensed Practical Nurse | 13634 County Road J, Holgate, OH 43527-9721 | 2015-10-09 |
1790925451 | Holgate Local School District | Local Education Agency (LEA) | 801 Joe E Brown Ave, Holgate, OH 43527-9802 | 2009-02-20 |
1760572564 | Holgate Care Center, LLC | Skilled Nursing Facility | 600 Joe E Brown Ave, Holgate, OH 43527-9803 | 2006-10-13 |
1841777059 | Myriah Leigh Rode | Speech-Language Pathologist | 801 Joe E Brown Ave, Holgate, OH 43527-9802 | 2018-07-20 |
1376903773 | Diane Nicholson | Licensed Practical Nurse | 801 Joe E Brown Ave, Holgate, OH 43527-9802 | 2016-02-26 |
Taxonomy Code | 163WC0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Critical Care Medicine |
Definition to come... |
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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.