Katrina Gibson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

272799 Issued in SC

Practice address

1670 Arlen Rd
Manning, SC 29102-5097

Phone

(803) 236-9023

NPI assigned

Oct 12, 2022

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 and National Provider Directory roles.

• TSD Healthcare, LLC

  • In Home Supportive Care Agency
  • Manning, SC
  • NPI 1104612936

  Registered Nurse

  NPD Authorized official

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1124744149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 ARLEN RD",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291025097",
            "telephone_number": "803-250-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 ARLEN RD",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291025097",
            "telephone_number": "803-236-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KATRINA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "272799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Tyler Fullen, OD
• Gamble Dentalsmart PC
• Tracy Ganes, CRNA
• Reynald Bassig Garma, MD
• Marion Claire Geddings, FNP-BC
• Kevin James Gist II
• Jennifer L Glassey, DMD
• Charles E. Godwin III, NP
• Heather Johnson Goff, PTA
• Rashawnda S Gooden

• Registered Nurse in Manning, SC
• Providers in Manning, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.