Kristine Consunji Gibbs, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4226 Issued in AZ

Practice address

9220 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730-8551

Phone

(909) 944-9058

Fax

(909) 948-3893

NPI assigned

Oct 31, 2011

Last updated

Aug 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1144506429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 HAVEN AVE",
            "address_2": "STE 101",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308551",
            "telephone_number": "909-944-9058",
            "fax_number": "909-948-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 HAVEN AVE",
            "address_2": "STE 101",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308551",
            "telephone_number": "909-944-9058",
            "fax_number": "909-948-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "KRISTINE",
        "middle_name": "CONSUNJI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4226",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghazal Dental Corporation (N. Rancho Cucamonga Dental Group)
• Melanie Ghebrial
• Parisa Gheidarpour, D.D.S.
• Silvana Marisa Giannelli, MD
• Joshua G Gibbs, D.O.
• Tiffany Anne Gibson-Orial
• Kaitlynn Giddings
• Gideon Chen Chiropractic Corp
• Carmen Gil
• Gilbert Y Zini, MD, Inc.

• Family Nurse Practitioner in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.