Sharicka Lee Gibson, MBA, BSRT (R)

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

438191 Issued in TN

Practice address

782 Garrison Dr
Nashville, TN 37207-3527

Phone

(615) 806-5917

NPI assigned

Sep 13, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1205355955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 GARRISON DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372073527",
            "telephone_number": "615-806-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 GARRISON DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372073527",
            "telephone_number": "615-806-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SHARICKA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MBA, BSRT (R)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": "TN",
            "license": "438191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGY",
            "identifier": "438191",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Kevin Gibson, M.D. PHD
• Robin Delane Gibson, PHARMD
• Sandra Gibson, PT
• Sarah Gibson
• Savannah Gibson
• Taylor Allison Giese, PHARM D.
• Tera Elizabeth Giese, PT, DPT
• Morgane Giesecke
• Todd Clifford Giesecke, CRNA
• Max Giesken, MD

• Radiography Radiologic Technologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Radiography Radiologic Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.