Active NPI
Debra Lynn Gibson, ARNP
- Women's Health Nurse Practitioner
- Pikeville, KY
National Provider Identifier
1205817301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 2243P
- Practice address
- 119 River Dr
Pikeville, KY 41501-1685 - Phone
- (606) 437-5500
- Fax
- (606) 433-9690
- NPI assigned
- Nov 7, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 2243P | KY | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 1048697 | KY |
Addresses
Primary practice location
119 River Dr
Pikeville, KY 41501-1685
Mailing address
6239 Zebulon Hwy
Pikeville, KY 41501-3581
Phone (606) 631-3122
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20098018 | Medicaid | KY | |
| 000000225676 | Other | KY | ANTHEM |
| 1197102 | Other | KY | CHA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1048697 | KY | MD | Women's Health Nurse Practitioner |
| 2243P | KY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Past | Accepting new patients | |
| Pike County Health Department | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- Public Health or Welfare Agency
- Pikeville, KY
- NPI 1780722728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1205817301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6239 ZEBULON HWY",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013581",
"telephone_number": "606-631-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 RIVER DR",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011685",
"telephone_number": "606-437-5500",
"fax_number": "606-433-9690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "DEBRA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "KY",
"license": "2243P",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "KY",
"license": "1048697",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20098018",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000225676",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA",
"identifier": "1197102",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.