Iesha Renee Gibbons, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

10493287-3904 Issued in UT

Practice address

826 N 100 E Ste 1a
Spanish Fork, UT 84660-1241

Phone

(801) 901-2223

NPI assigned

Mar 1, 2019

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

Other names 1

• Iesha Nuttall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1093272676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 N 100 E STE 1A",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 N 100 E STE 1A",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601241",
            "telephone_number": "801-901-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "IESHA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "10493287-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IESHA",
            "last_name": "NUTTALL",
            "credential": "AMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven T Garrard, PMHNP
• Meredith A. Gaufin, MD
• Emma Gaush
• Colton Geddes
• Kayla Georgeson
• Celeste A Gibson, LMT
• Melanie Gilbert
• Blake Paul Gillette, MD
• Hayley Nikole Gividen, FNP-C
• Glad Tidings, LLC

• Marriage & Family Therapist in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.