Jana Gibson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

804 W Choctaw Ave
Chickasha, OK 73018-2310

Phone

(405) 424-7711

NPI assigned

Jun 1, 2023

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1063105385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WALNUT DR",
            "city": "NINNEKAH",
            "state": "OK",
            "postal_code": "730679625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W CHOCTAW AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182310",
            "telephone_number": "405-424-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rex Lynn Fryer, M.ED.
• Fulton Eyecare Center PLLC
• Robert Allen Fulton, O.D.
• John R Gearhart, MD
• George W. Williams, DDS, Inc
• Glenn H. Gilbreath Jr., D.PH.
• Giles Orthopedics and Sports Medicine, PLLC
• Danny W Giles, M.D.
• Paige Givens, M.S., C.F.-SLP
• Glenhaven Corporation

• Peer Specialist in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.