Quartivia Gibson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

905847 Issued in MS

Practice address

202 General Gardner Ave
Lafayette, LA 70501-7824

Phone

(337) 232-9457

NPI assigned

Mar 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MS

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MS

  Medicare reassignment NPD
• Top Tier Therapy & Psychiatry

  • Community/Behavioral Health Agency
  • Madison, MS
  • NPI 1265254114
  NPD Authorized official
• Biltmore Health Services Inc

  • Community/Behavioral Health Agency
  • Lafayette, LA
  • NPI 1851781595
  NPD
• Biltmore Health Services Inc

  • Mental Health Counselor
  • Lafayette, LA
  • NPI 1902481625
  NPD

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1003510181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 BURKHARDT RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454312111",
            "telephone_number": "601-910-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 GENERAL GARDNER AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705017824",
            "telephone_number": "337-232-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "QUARTIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gibson Kendrick, LPC
• Gibson Sales LP
• Gina Lynn Gibson, PHD
• Lauren D Gibson, DPM
• Nicole Gibson, B.S.
• Sara Gibson
• Guy Rees Gideon, CAC
• Gordon Gregory Gidman, M.D.
• Shanika Gilbert
• Shanne Gilbert, RPT,RMA

• Psychiatric/Mental Health Nurse Practitioner in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.