Individual provider Active NPI

Erica Gibson, APRN

  • Family Nurse Practitioner
  • Cabot, AR
National Provider Identifier
1235522780
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A006126 Issued in AR
Practice address
205 Westport Dr Ste 1
Cabot, AR 72023-3657
Phone
(501) 843-6585
NPI assigned
Mar 9, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Health Group 645 clinicians

Practice addresses (Care Compare)

205 Westport Dr
1 Baptist Health Family Clinic Cabot
Cabot, AR 72023-3657
Phone (501) 843-6585

Hospital & facility affiliations

  • Baptist Health Home Health-LR Home health agency, Little Rock, AR, CCN 047090
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
  • Baptist Health Rehabilitation Institute Inpatient rehabilitation facility, Little Rock, AR, CCN 043026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200429000459 AR Practitioner - Nurse Practitioner 2163852427 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R90320ARMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Feb 27, 2020 Accepting new patients
Arkansas Health Group CurrentSince Feb 27, 2020 Accepting new patients
Arkansas Health Group Past Accepting new patients

Locations

205 Westport Dr
Ste 1
Cabot, AR 72023
Phone (501) 843-6585

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

Interoperability endpoints

  • Direct secure messaging: egibson392678@direct.baptist-healthar.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X R90320 AR
Family Nurse Practitioner 363LF0000X A006126 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

205 Westport Dr Ste 1
Cabot, AR 72023-3657

Mailing address

205 Westport Dr Ste 1
Cabot, AR 72023-3657

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2020.

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1235522780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WESTPORT DR STE 1",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WESTPORT DR STE 1",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233657",
            "telephone_number": "501-843-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ERICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "AR",
            "license": "R90320",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.