HEATHER L. GIBBON


Address: 61 Medford St, Somerville, MA 02143-3421
Phone: 6176293919

HEATHER L. GIBBON (NPI# 1871827642) 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) 1871827642
Entity Type Individual
Full Name HEATHER L. GIBBON
Credential MSW INTERN
Practice Address 61 Medford St
Somerville
MA 02143-3421
Mailing Address 54 Saint Germain St
Apt. 2
Boston
MA 02115-3258
Practice Telephone 6176293919
Enumeration Date 2009-09-28
Last Update Date 2009-09-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers HEATHER GIBBON

NPI Name Taxonomy Address Enumeration
1376992255 Heather Marie Gibbon Social Worker 7738b Madison Blvd Ste 202, Huntsville, AL 35806-3661 2016-06-10

Office Location

Street Address 61 MEDFORD ST
City SOMERVILLE
State MA
Zip Code 02143-3421

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215086061 Nina Cohen Social Worker 61 Medford St, Somerville, MA 02143 2007-01-10
1497394886 Elisabeth Marcucci Social Worker 61 Medford St, Somerville, MA 02143-3421 2020-01-02
1386127736 Leah Hampton Social Worker 61 Medford St, Somerville, MA 02143-3421 2018-09-12
1245713155 Melissa Bryant Social Worker 61 Medford St, Somerville, MA 02143-3421 2018-09-07
1205317062 Carly Ellis Social Worker 61 Medford St, Somerville, MA 02143-3421 2018-08-28
1053891473 Elise Farrell Social Worker 61 Medford St, Somerville, MA 02143-3421 2018-08-15
1124508544 Stephanie Becker Social Worker 61 Medford St, Somerville, MA 02143-3421 2018-08-15
1164901732 Allison Alaimo Social Worker 61 Medford St, Somerville, MA 02143-3421 2018-08-14
1952889412 Anne Marie Keefe Social Worker 61 Medford St, Somerville, MA 02143-3421 2018-08-06
1386122216 Corinne Lofchie Social Worker 61 Medford St, Somerville, MA 02143-3421 2018-08-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245843598 Sidney Marie Joines Counselor New Washington St, Somerville, MA 02143 2020-08-26
1487295887 Tejasvini Goud Jangam Dentist 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 2019-10-07
1265900658 Latoya Lewis Massage Therapist 343 Medford Street Suite 4b, Somerville, MA 02143 2018-11-05
1982181053 Robert Lafollette Social Worker 61 Inner Belt Rd, Somerville, MA 02143 2018-07-23
1013405471 Roseli De Fatima Schimanski Acupuncturist 10 Clark St #3, Somerville, MA 02143 2018-05-01
1255840070 Maggie Kinser Counselor 366 Somerville Avenue, Somerville, MA 02143 2017-09-25
1497273742 Isabelle Hackett Social Worker 17 Inner Belt Rd, Somerville, MA 02143 2017-09-07
1952824666 Manuel Cantu Counselor 17 Inner Belt Road, Somerville, MA 02143 2017-07-25
1649710963 Shakemia Shaw Licensed Practical Nurse 230 Highland Avenue, Somerville, MA 02143 2017-03-06
1245600501 Libby Vilner Social Worker 12 Tyler St., Somerville, MA 02143 2015-09-30
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568075471 Chace Nolen Student in an Organized Health Care Education/Training Program 125 Morrison Ave Apt 1, Somerville, MA 02144-2126 2020-08-29
1558981944 Kylie Morgan Steinhilber Student in an Organized Health Care Education/Training Program 739 Broadway Apt 2, Somerville, MA 02144-2141 2020-04-26
1982224051 Chris Raftelis Student in an Organized Health Care Education/Training Program 35 Fairfax St, Somerville, MA 02144-1107 2020-04-19
1679193874 Sarah Burke Student in an Organized Health Care Education/Training Program 27 1/2 Boston St, Somerville, MA 02143-2005 2020-04-17
1316566094 Melanie Choi Student in an Organized Health Care Education/Training Program 5 Maxwells Grn Apt 102, Somerville, MA 02144-2685 2020-04-13
1518586312 Nicolas Pytel Student in an Organized Health Care Education/Training Program 7 Franklin St Apt 1, Somerville, MA 02145-3235 2020-04-11
1255986238 Josephine Sheron Au Student in an Organized Health Care Education/Training Program 33 Linden Ave # 1, Somerville, MA 02143-2221 2019-08-06
1417436585 Quang Pho Student in an Organized Health Care Education/Training Program 115 Thurston St Apt 3, Somerville, MA 02145-2847 2018-08-09
1114417524 Dae Kim Student in an Organized Health Care Education/Training Program Somerset Family Practice, 110 Rehill Avenue, Somerville, NJ 08876 2018-05-11
1720529951 Madeline Ray Student in an Organized Health Care Education/Training Program 37 Cherry St, Somerville, MA 02144-3253 2017-03-20
Find all providers in SOMERVILLE

Competitor

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City SOMERVILLE
Zip Code 02143

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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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