Lennette Gibson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN125529 Issued in GA

Practice address

3300 Brownwood Dr
Snellville, GA 30078-6811

Phone

(404) 798-3206

NPI assigned

Jan 1, 2020

Last updated

Jan 1, 2020By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Superb Case MGMT

  • Case Management Agency
  • Snellville, GA
  • NPI 1942905823
  NPD Authorized official

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

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1073152591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BROWNWOOD DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786811",
            "telephone_number": "404-798-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BROWNWOOD DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786811",
            "telephone_number": "404-798-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LENNETTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN125529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Woundcare LLC
• GG ABA Services
• Abhijit Ghatak, MD
• Arjun Ramesh Ghodasara, M.D.
• Tess Gibbs
• Veronica Ikonge Gichana, NP
• Alejandra Gil
• Tierra Gilbert, BCBA
• Christine Evette Giles, M.S., CCC-SLP
• Kimberly Renee Gillens, MD

• Registered Nurse in Snellville, GA
• Providers in Snellville, GA by specialty
• Registered Nurse in Georgia

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