DR. KELLY A GIBSON (NPI# 1841324860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841324860 |
| Entity Type | Individual |
| Full Name | DR. KELLY A GIBSON |
| Credential | AU.D. |
| Practice Address |
780 W Olive Ave Ste 100 Merced CA 95348-2437 |
| Mailing Address |
8800 Se Sunnyside Rd Ste 300n Clackamas OR 97015-5703 |
| Practice Telephone | 2097223325 |
| Practice Fax Number | 2093830802 |
| Mailing Telephone | 2812862999 |
| Mailing Fax Number | 5126074893 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2017-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | AU 2679 | CA | Speech, Language and Hearing Service Providers |
| N | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
AU 2679 | CA | Speech, Language and Hearing Service Providers |
| N | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
AU 2679 | CA | Speech, Language and Hearing Service Providers |
| Y | 237600000X | Audiologist-Hearing Aid Fitter | AU 2679 | CA | Speech, Language and Hearing Service Providers |
| N | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE | CB279930 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093105371 | Kelly Gibson | Chiropractor | 608 Fisher Cir, Folsom, CA 95630-9541 | 2015-01-26 |
| 1982013124 | Kelly Gibson | Dentist | 18800 Main St Ste 202, Huntington Beach, CA 92648-1718 | 2014-08-12 |
| 1043559628 | Kelly Ann Gibson | Nurse Practitioner | 6400 Greenfield Rd, #908, Elkridge, MD 21075-9101 | 2013-02-02 |
| 1316140551 | Kelly Marie Gibson | Chiropractor | 1929 W Vista Way, Suite C, Vista, CA 92083 | 2007-06-06 |
| 1811521172 | Kelly Bruce Gibson | Physical Therapist | 5520 Broadview Rd Frnt, Parma, OH 44134-1606 | 2020-02-26 |
| 1346737806 | Kelly J Gibson | Occupational Therapy Assistant | 25018 Oakhurst Dr, Spring, TX 77386-2722 | 2018-04-19 |
| 1407197114 | Kelly Gibson | Physician Assistant | 228 Saint George St, Gonzales, TX 78629-3910 | 2013-03-05 |
| 1023388444 | Kelly Gibson | Physical Therapist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2012-01-02 |
| 1215101480 | Kelly Smith Gibson | Obstetrics & Gynecology | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2008-04-17 |
| Street Address |
780 W OLIVE AVE STE 100 |
| City | MERCED |
| State | CA |
| Zip Code | 95348-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881742146 | Renee Ann Garrett | Specialist | 780 W Olive Ave Ste 100, Merced, CA 95348-2437 | 2007-01-05 |
| 1073049201 | Alan Gibson | Hearing Instrument Specialist | 780 W Olive Ave Ste 100, Merced, CA 95348-2437 | 2017-05-09 |
| 1245625516 | David Ross Archie | Audiologist-Hearing Aid Fitter | 780 W Olive Ave Ste 100, Merced, CA 95348 | 2015-04-02 |
| 1538217807 | Mark R Garrett | Specialist | 780 W Olive Ave Ste 100, Merced, CA 95348-2437 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031649 | Sydney Towle | Counselor | 3360 N Hwy 59 Suite K, Merced, CA 95348 | 2020-04-13 |
| 1972147544 | Aaliyah Belt | Behavior Technician | 2808 Park Ave, Suite A, Merced, CA 95348 | 2019-11-06 |
| 1922566025 | Michelle Chao Lee | Case Manager/Care Coordinator | 3360 North Hwy 59 Suite K, Merced, CA 95348 | 2019-03-07 |
| 1760952246 | Noemi Diaz | Counselor | 3360 North Hwy.59 Suite K, Merced, CA 95348 | 2018-11-28 |
| 1518451632 | Kenneth Tiea Pay | Pharmacist | 767 Ironstone Dr, Merced, CA 95348 | 2018-06-21 |
| 1295223444 | Andraya Diane Plascencia | Behavior Technician | 335 M St, Merced, CA 95348 | 2018-04-24 |
| 1801398839 | Elisabet Pulido | Case Manager/Care Coordinator | 3360 N State Hwy 59, K, Merced, CA 95348 | 2018-03-06 |
| 1184126674 | Carolina Rosales | Behavior Technician | 3335 M St., Merced, CA 95348 | 2018-03-01 |
| 1659897957 | Melody Vega | Social Worker | 3195 M Street, Merced, CA 95348 | 2017-08-17 |
| 1942739305 | Salvador Tinoco Jaramillo | Marriage & Family Therapist | 3360 N Highway 59 Suite K, Merced, CA 95348 | 2017-06-08 |
| Find all providers in zip 95348 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245625516 | David Ross Archie | Audiologist-Hearing Aid Fitter | 780 W Olive Ave Ste 100, Merced, CA 95348 | 2015-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083521 | Auralcare Hearing Centers of America, LLC | Audiologist-Hearing Aid Fitter | 9100 Wilshire Blvd Ste 310e, Beverly Hills, CA 90212-3403 | 2020-11-06 |
| 1306454319 | Beau Campa | Audiologist-Hearing Aid Fitter | 2623 Shadelands Dr Ste 1, Walnut Creek, CA 94598-2512 | 2020-07-15 |
| 1538777693 | Caitlyn Nicole Mathews | Audiologist-Hearing Aid Fitter | 5360 Hollister Ave Ste 1, Santa Barbara, CA 93111-2334 | 2020-07-15 |
| 1366077059 | Csg Better Hearing Services, Inc., A Professional Audiology Corp. | Audiologist-Hearing Aid Fitter | 744 Empire St Ste 210, Fairfield, CA 94533-5562 | 2020-03-03 |
| 1871133314 | Chandan Hunsur Suresh | Audiologist-Hearing Aid Fitter | 8135 Painter Ave Ste 302, Whittier, CA 90602-3172 | 2020-01-13 |
| 1467098640 | Yen Ngoc Luu | Audiologist-Hearing Aid Fitter | 200 N Harbor Blvd # 200, Fullerton, CA 92832-1815 | 2019-11-21 |
| 1992367494 | Anne Bliss | Audiologist-Hearing Aid Fitter | 20126 Stanton Ave Ste 205, Castro Valley, CA 94546-5270 | 2019-07-03 |
| 1730748807 | Bashar Ashouri | Audiologist-Hearing Aid Fitter | 1245 Wilshire Blvd Ste 603, Los Angeles, CA 90017-4806 | 2019-06-11 |
| 1124582143 | Agility Hearing Care, An Audiology Corporation | Audiologist-Hearing Aid Fitter | 2081 Forest Ave Ste 224, San Jose, CA 95128-4841 | 2019-01-23 |
| 1669949012 | Jessica Rose Hyde | Audiologist-Hearing Aid Fitter | 3333 Mendocino Ave Ste 115, Santa Rosa, CA 95403-3631 | 2018-10-24 |
| 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.