Active NPI
Dianna R Gibson, C.R.N.A
- Certified Registered Nurse Anesthetist
- Florence, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 202010013CRNA
- Practice address
- 400 9TH St
Florence, OR 97439-7398 - Phone
- (555) 555-5555
- NPI assigned
- Mar 7, 2012
- Last updated
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2012007166 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN99562 | WV | |
| Certified Registered Nurse Anesthetist | 367500000X | R229632 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | 16886 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 202010013CRNA | OR | Primary |
Addresses
Primary practice location
400 9TH St
Florence, OR 97439-7398
Mailing address
400 9TH St
Florence, OR 97439-7398
Phone (555) 555-5555
Other practice location 1
1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dgibson202105@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, WV, OR, GU
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
633 Gov Carlos Camacho Rd
Suite 101
Tamuning, GU 96931-3134
Phone (671) 646-3855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16886 | TN | MD | Clinical Social Worker |
| 2012007166 | MO | MD | Certified Registered Nurse Anesthetist |
| APRN99562 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Group of Tennessee, P. C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ba Ventures LLC | Current | Accepting new patients | |
| Parkville Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| United Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Ac Micro Guam LLC | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients |
Locations
633 Gov Carlos G Camacho Rd
Ste 101
Tamuning, GU 96913
Phone (671) 646-3855
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
600 N Wolfe St
Baltimore, MD 21287
11085 Little Patuxent Pkwy
Bldg 4
Columbia, MD 21044
Phone (410) 730-0099
19 Fontana Ln
Ste 104
Rosedale, MD 21237
Phone (410) 574-7776
360 S Garden Way
Ste 100
Eugene, OR 97401
Phone (541) 334-0488
2435 NW Kline St
Roseburg, OR 97471
Phone (541) 672-2020
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
135 W Ravine Rd
Ste 5-B
Kingsport, TN 37660
Phone (423) 224-3460
3211 Dudley Ave
Parkersburg, WV 26104
Phone (304) 422-3904
601 Avery St
Ste 501
Parkersburg, WV 26101
Phone (304) 422-3904
800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161
Interoperability endpoints
- dgibson202105@samhealth.direct-ci.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Tamuning, GU
- NPI 1699768093
-
- Anesthesiology Physician
- Roseburg, OR
- NPI 1154093847
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
dba MMG Anesthesiology LLC
- Anesthesiology Physician
- Baltimore, MD
- NPI 1528578333
-
- Anesthesiology Physician
- Parkersburg, WV
- NPI 1477512408
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1740218767
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1114927738
Nurse Anesthetist, Certified Registered
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba Jhu - Emergency Medicine
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1386631810
-
- Anesthesiology Physician
- Washington, DC
- NPI 1558976175
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1235579764
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1194099143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 9TH ST",
"city": "FLORENCE",
"state": "OR",
"postal_code": "974397398",
"telephone_number": "555-555-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 9TH ST",
"city": "FLORENCE",
"state": "OR",
"postal_code": "974397398",
"telephone_number": "555-555-5555"
}
],
"practiceLocations": [
{
"address_1": "1046 6th Ave SW",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "OR",
"postal_code": "973211916",
"country_code": "US",
"telephone_number": "541-812-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "DIANNA",
"middle_name": "R",
"credential": "C.R.N.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-07",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2012007166",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "APRN99562",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R229632",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "16886",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "202010013CRNA",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgibson202105@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "1046 6th Ave SW",
"city": "Albany",
"state": "OR",
"country_code": "US",
"postal_code": "973211916",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Florence, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.