Gloria Kay Gibson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

78541 Issued in TX

Practice address

1000 S Main St Ste 200
Grapevine, TX 76051-7503

Phone

(972) 945-7719

NPI assigned

May 18, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1023631652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 LIBERTY CT",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283043",
            "telephone_number": "972-945-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S MAIN ST STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517503",
            "telephone_number": "972-945-7719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760517503",
            "country_code": "US",
            "telephone_number": "972-945-7719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GLORIA",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "78541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tikku George, MD
• Georgia L Blair MD, PLLC
• Faryal Abdul Ghaffar, MD
• Fred Elias Ghali, MD
• Dana Giacalone, DPM
• Morgan Gibson, OTD, OTR/L
• Reef Royal Gillum, DO
• Elizabeth Gitau
• Glade Crossing Dental, PA
• Glaucoma Specialists of Texas SHP PA

• Counselor in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.