Debra Gibson, RN, BSN, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

0045042 Issued in OK

Practice address

1923 S Utica Ave
Tulsa, OK 74104-6520

Phone

(918) 744-3623

Fax

(918) 744-2483

NPI assigned

Apr 24, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• St John Health System

  • Medical Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1508226507
  NPD (past)
• St. John Physicians, Inc.

  • Registered Dietitian
  • Tulsa, OK
  • NPI 1528564929

  Diabetes Educator

  NPD (past)

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1255866554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717B S UTICA AVE STE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045332",
            "telephone_number": "918-744-3623",
            "fax_number": "918-744-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-744-3623",
            "fax_number": "918-744-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "OK",
            "license": "0045042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Gibson, DO
• Cari Denise Gibson, MS, LPC
• Clifford Gibson Jr.
• Courtney Elizabeth Gibson, MSN , APRN, FNP-C
• Deann Gibson
• Dena R Gibson, MHR
• Gwendolyn Louise Gibson, M.D.
• Izetta Kuffa Gibson, MSW
• Kristin Lynne Gibson, RD
• Sally Estelle Gibson, M.S., L.P.C.

• Diabetes Educator Registered Nurse in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Diabetes Educator Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.