Active NPI
Rhonda Lamar Gibson, ACNP
- Acute Care Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 17515
- Practice address
- 147 Fox Squirrel Cir
Columbia, SC 29209-4478 - Phone
- (803) 543-9401
- NPI assigned
- Oct 16, 2012
- Last updated
- Jun 23, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 17515 | SC | Primary |
Addresses
Primary practice location
147 Fox Squirrel Cir
Columbia, SC 29209-4478
Mailing address
9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343
Phone (803) 543-9401
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rhonda.gibson@optum.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1333 Taylor St
Suite 6B
Columbia, SC 29201-2953
Phone (803) 251-3093
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17515 | SC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bogan Sleep Consultants | Current | Accepting new patients | |
| Palmetto Orthopaedic Clinic, PA | Past | Accepting new patients |
Locations
1333 Taylor St
Ste 6B
Columbia, SC 29201
Phone (803) 251-3093
Interoperability endpoints
- bogansleepconsultants.rhondagibson@146601.advancedmd-direct.com
- rhonda.gibson@optum.com
Organizations & group practices 2
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1497296164
-
- Orthopaedic Surgery Physician
- Columbia, SC
- NPI 1841291127
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prisma Health Baptist Hospital
- General Acute Care Hospital
- Columbia, SC
- NPI 1205889458
-
dba Prisma Health Assertive Community Treatment Team
- General Acute Care Hospital
- Columbia, SC
- NPI 1306623137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1114270030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 BREN ROAD EAST",
"address_2": "MAIL ROUTE MN 008-B213",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55343",
"telephone_number": "803-543-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 FOX SQUIRREL CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292094478",
"telephone_number": "803-543-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "RHONDA",
"middle_name": "LAMAR",
"name_prefix": "Ms.",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "SC",
"license": "17515",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rhonda.gibson@optum.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "147 Fox Squirrel Cir",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292094478",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.