Lauren M Gibbs

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057004318 Issued in IL

Practice address

1111 University Dr
Edwardsville, IL 62025-5589

Phone

(618) 692-2273

NPI assigned

Oct 23, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1235738840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 CANTERBURY ST",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620352736",
            "telephone_number": "618-600-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 UNIVERSITY DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255589",
            "telephone_number": "618-692-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1373 Dadrian Professional Park",
            "address_purpose": "LOCATION",
            "city": "Godfrey",
            "state": "IL",
            "postal_code": "620351767",
            "country_code": "US",
            "telephone_number": "618-467-7062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "LAUREN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057004318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Angelina Gassiraro, BSW
• Nicholas Charles Gayeski, MSN, RN
• Kathryn Gayler
• Robert Geldert III, OTR/L
• Abbie Elizabeth George
• Amy Rose Gilomen, RDN
• Adriana Givens-Keeper, LPC
• Kelsey Godar, MSN, RN
• Kristie Goeckner, MSN, RN
• Shandra Dawn Goersch, MSN, RN

• Occupational Therapy Assistant in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.