Individual provider Active NPI

Lakeshia C Gibson, MD

  • Behavioral Neurology & Neuropsychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1043707763
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
25971 Issued in NV
Practice address
888 W Bonneville Ave
Las Vegas, NV 89106-0100
Phone
(702) 483-6000
Fax
(702) 483-6039
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 295334 MA
Psychiatry Physician 2084P0800X 295334 MA
Psychiatry Physician 2084P0800X 25971 NV
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 25971 NV Primary

Addresses

Primary practice location

888 W Bonneville Ave
Las Vegas, NV 89106-0100

Mailing address

888 W Bonneville Ave
Las Vegas, NV 89106-0100
Phone (702) 483-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404001711 NV Practitioner - Psychiatry 5496004970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland Clinic NevadaGroup PAC ID 9537219431, 31 clinicians

Practice addresses (Care Compare)

888 W Bonneville Ave
Las Vegas, NV 89106-0100
Phone (702) 483-6000

Hospital & facility affiliations

  • Care First Home Health Care Home health agency, Las Vegas, NV, CCN 297143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25971NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Nevada CurrentSince May 22, 2025 Accepting new patients

Locations

888 W Bonneville Ave
Las Vegas, NV 89106
Phone (702) 263-9797

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1043707763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 W BONNEVILLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891060100",
            "telephone_number": "702-483-6000",
            "fax_number": "702-483-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 W BONNEVILLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891060100",
            "telephone_number": "702-483-6000",
            "fax_number": "702-483-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LAKESHIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "MA",
            "license": "295334",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "295334",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "25971",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NV",
            "license": "25971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.