Lacey Rae Gibson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

227532 Issued in AZ

Practice address

167 North Main Street
Tuba City, AZ 86045-1621

Phone

(602) 315-8661

NPI assigned

Apr 19, 2019

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

Enrolled in AZ, TX2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Anesthesia Partners of Arizona LLCGroup PAC ID 8628317179, 85 clinicians

Guide Anesthesia Az LLCGroup PAC ID 1355846106, 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 39)

Interoperability endpoints

• Direct secure messaging: lacey.gibson.p20@direct.avp.nextgenshare.com

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.

• Guide Anesthesia Az LLC

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
  • NPI 1649164849

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Southwestern Eye Center LTD

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1023063187
  Medicare reassignment Care Compare group NPD
• Anesthesia Partners of Arizona LLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1619452901

  AZ

  Medicare reassignment Care Compare group NPD
• Asap Anesthesia, LLC

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1760082184
  Medicare reassignment NPD
• Ascend Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
  • NPI 1407642945

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Aurora Anesthesia Associates LLC

  • Anesthesiology Physician
  • Flagstaff, AZ
  • NPI 1861161572
  Medicare reassignment NPD
• Barnet Dulaney Perkins Eye Center, PC

  dba American Vision Partners

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1376574707
  Medicare reassignment NPD
• Dec Anesthesia LLC

  • Anesthesiology Physician
  • Mesa, AZ
  • NPI 1093006520
  Medicare reassignment NPD
• Tuba City Regional Health Care Corporation

  dba Tuba City Indian Medical Center

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  TX

  Medicare reassignment NPD
• Anesthesia Partners & Management LLC

  dba Arizona Anesthesia Solutions

  • Certified Registered Nurse Anesthetist
  • Brighton, MI
  • NPI 1336530997

  AZ, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Barnet Dulaney Perkins Eye Center, PC

  dba American Vision Partners

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1043910078
  NPD
• Barnet Dulaney Perkins Eye Center, PC

  dba American Vision Partners

  • Ophthalmology Physician
  • Flagstaff, AZ
  • NPI 1689619272
  NPD

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1184287633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 NORTH MAIN STREET",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860451621",
            "telephone_number": "602-315-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 NORTH MAIN STREET",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860451621",
            "telephone_number": "602-315-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Bodin Cir",
            "address_purpose": "LOCATION",
            "city": "Travis AFB",
            "state": "CA",
            "postal_code": "945351809",
            "country_code": "US",
            "telephone_number": "707-423-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 N Switzer Canyon Dr",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860014844",
            "country_code": "US",
            "telephone_number": "928-774-3044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LACEY",
        "middle_name": "RAE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN159748",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "227532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael George, RN
• Rosita George
• Tiffany George, CNA
• Barbara J Gibson, RN
• Bruce Jesse Gibson, R.N.
• Dana Giddens, RN
• Daniel Robert Gilberg, PHARMD, PHARMACIST
• Tennell Lynn Gilmore, P.T.
• Norman Kent Goering, R.N.
• Mary Jane Goh

• Certified Registered Nurse Anesthetist in Tuba City, AZ
• Providers in Tuba City, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.