Active NPI
Jessica Ann Gibson, MSN, CNM, ARNP
- Advanced Practice Midwife
- Crestview, FL
National Provider Identifier
1013213057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- ARNP9278210
- Practice address
- 4100 S Ferdon Blvd
Suite A4
Crestview, FL 32536-5252 - Phone
- (850) 398-8940
- NPI assigned
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | ARNP9278210 | FL | Primary |
Addresses
Primary practice location
4100 S Ferdon Blvd
Suite A4
Crestview, FL 32536-5252
Mailing address
2406 Roberts Dr
Niceville, FL 32578-2358
Phone (850) 390-1742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9278210 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sergio J Cabrera MD PL | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Crestview, FL
- NPI 1629378344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1013213057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 ROBERTS DR",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325782358",
"telephone_number": "850-390-1742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 S FERDON BLVD",
"address_2": "SUITE A4",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325365252",
"telephone_number": "850-398-8940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MSN, CNM, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-09",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "ARNP9278210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.