Kathy Gibson

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.Z20160 Issued in LA

Practice address

2316 W Gloria Switch Rd
Carencro, LA 70520-6455

Phone

(337) 849-6296

NPI assigned

Sep 18, 2023

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

State licenses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1134907686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705200940",
            "telephone_number": "337-849-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 W GLORIA SWITCH RD",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705206455",
            "telephone_number": "337-849-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KATHY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "LA",
            "license": "OTA.Z20160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Fourquet, RPH
• Precious Dollette Francis, RDN
• Eric Scott Fruge, P.T.
• Lexxi Nicole Gautreaux
• Susan D Gianfala, MS, CCC-SLP
• Bethel Gilmore, PTA
• Ariel Regine Goodie
• Branda Goodie
• Grace & Hope Wellness Center
• Tori Spindler Griggs, PHARMD

• Occupational Therapy Assistant in Carencro, LA
• Providers in Carencro, LA by specialty
• Occupational Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.