NPIMap

Individual provider Active NPI

Nancy Gibson, NP

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1003278847
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173392 Issued in VA
Practice address
11842 Rock Landing Dr Ste 100
Newport News, VA 23606-4437
Phone
(757) 873-0338
Fax
(757) 873-9579
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173392 VA Primary

Addresses

Primary practice location

11842 Rock Landing Dr Ste 100
Newport News, VA 23606-4437

Mailing address

11842 Rock Landing Dr Ste 100
Newport News, VA 23606-4437
Phone (757) 873-0338

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.entallergy1.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420001265 VA Practitioner - Nurse Practitioner 7517265812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1030 Champions Way
Suffolk, VA 23435-3914
Phone (757) 673-6118

704 Thimble Shoals Blvd
300A
Newport News, VA 23606-4554
Phone (757) 595-4300

802 Lockwood Ave a
Newport News, VA 23602-4479
Phone (757) 872-9797

860 Omni Blvd
Newport News, VA 23606-4430

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Roads Otolaryngology Associates PLLC CurrentSince Mar 16, 2020 Accepting new patients
Advanced ENT & Allergy, PC CurrentSince Jun 1, 2022 Accepting new patients

Locations

11842 Rock Landing Dr
Ste 100
Newport News, VA 23606
Phone (757) 873-0338

1030 Champions Way
Suffolk, VA 23435
Phone (757) 673-6118

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12840/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1003278847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-873-0338",
            "fax_number": "757-873-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-873-0338",
            "fax_number": "757-873-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "NANCY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.entallergy1.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "web site",
            "address_1": "11842 Rock Landing Dr Ste 100",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236064437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.