Tracey Gibbons

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN430185 Issued in OH

Practice address

5714 Theota Ave
Parma, OH 44129-2240

Phone

(440) 591-3706

NPI assigned

Jan 4, 2017

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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1154866838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 THEOTA AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292240",
            "telephone_number": "440-591-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 THEOTA AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292240",
            "telephone_number": "440-591-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "TRACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN430185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah George, LPN
• Regina Georgeadis
• Manhal Amjad Ghanma, M.D.
• Ted George Giallourakis, PHARMD
• Vincent Americo Giammarco, L.P.C.C., C.C.D.C. 1
• Kelly Bruce Gibson, DPT
• Philip L Gigliotti, MD
• Kacie C Gikonyo, RN
• Natasha Kaur Gill
• Peter Gioitta, CDCA, M.ED

• All providers in Parma, OH
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.