Active NPI
Terri L Gibbs, DC
- Nutrition Chiropractor
- Boise, ID
National Provider Identifier
1073676607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- C893
- Practice address
- 1001 N 27TH St
Boise, ID 83702-2202 - Phone
- (208) 345-7646
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | C893 | ID | Primary |
Addresses
Primary practice location
1001 N 27TH St
Boise, ID 83702-2202
Mailing address
2609 Arthur St
Boise, ID 83703-4827
Phone (208) 342-7632
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C6665 | Other | ID | BLUE CROSS |
| 000010022602 | Other | ID | REGENCE B SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C893 | ID | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073676607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 ARTHUR ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837034827",
"telephone_number": "208-342-7632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N 27TH ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837022202",
"telephone_number": "208-345-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "TERRI",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "ID",
"license": "C893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "C6665",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE B SHIELD",
"identifier": "000010022602",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.