Individual provider Active NPI

Jennifer Jennings Gibson, APRN, FNP-C

  • Family Nurse Practitioner
  • Gonzales, LA
National Provider Identifier
1053729913
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07901 Issued in LA
Practice address
2524 S Philippe Ave
Gonzales, LA 70737-3749
Phone
(225) 644-1990
Fax
(888) 837-2317
NPI assigned
Jul 23, 2014
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 AP07901 LA Primary

Addresses

Primary practice location

2524 S Philippe Ave
Gonzales, LA 70737-3749

Mailing address

2524 S Philippe Ave
Gonzales, LA 70737-3749
Phone (225) 644-1990

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jgibson5126857@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161115002614 LA Practitioner - Nurse Practitioner 5597044511 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07901LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Convenient Care LLC Current Accepting new patients
Convenient Care LLC CurrentSince Oct 6, 2016 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Lsuhn Billing LLC CurrentSince Jan 1, 2021 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Oct 6, 2016 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Oct 6, 2016 Accepting new patients
Lake Urgent Care Ascension LLC Current Accepting new patients
Lsuhn Billing LLC CurrentSince Jan 1, 2021 Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Past Accepting new patients

Locations

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

16 Infirmary Rd
Baton Rouge, LA 70803
Phone (225) 578-6716

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

8249 Vincent Rd
Denham Springs, LA 70726
Phone (225) 480-1210

2524 S Philippe Ave
Gonzales, LA 70737
Phone (225) 644-1990

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930

10714 Highway 431
Saint Amant, LA 70774
Phone (225) 644-0005

Interoperability endpoints

  • Direct secure messaging: jgibson5126857@direct.casso.us.com

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1053729913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 S PHILIPPE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373749",
            "telephone_number": "225-644-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 S PHILIPPE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373749",
            "telephone_number": "225-644-1990",
            "fax_number": "888-837-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JENNIFER",
        "middle_name": "JENNINGS",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgibson5126857@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jgibson5126857@direct.casso.us.com",
            "address_1": "16 Infirmary Rd",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708033749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS fhir url",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "16 Infirmary Rd",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708033749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.