Active NPI
Nikia Cyna Gibson
- Respite Care
- Saint Rose, LA
National Provider Identifier
1114558855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 011645451
- Practice address
- 237 Riverview Dr
Saint Rose, LA 70087-3542 - Phone
- (313) 720-5874
- NPI assigned
- Jan 31, 2020
- 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 |
|---|---|---|---|---|
| Respite Care | 385H00000X | 011645451 | LA | Primary |
Addresses
Primary practice location
237 Riverview Dr
Saint Rose, LA 70087-3542
Mailing address
PO Box 781
Saint Rose, LA 70087-0781
Phone (313) 720-5874
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 |
|---|---|---|---|
| 011645451 | LA | MD | Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1114558855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781",
"city": "SAINT ROSE",
"state": "LA",
"postal_code": "700870781",
"telephone_number": "313-720-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 RIVERVIEW DR",
"city": "SAINT ROSE",
"state": "LA",
"postal_code": "700873542",
"telephone_number": "313-720-5874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "NIKIA",
"middle_name": "CYNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "LA",
"license": "011645451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Rose, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.