Individual provider Active NPI

Gaye Gibson, RN, MS, PSYD

  • Registered Nurse
  • Placerville, CA
National Provider Identifier
1265729438
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
225338 Issued in CA
Practice address
419 Main St
Suite 318
Placerville, CA 95667-5600
Phone
(530) 409-7511
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 225338 CA Primary

Addresses

Primary practice location

419 Main St
Suite 318
Placerville, CA 95667-5600

Mailing address

4925 Summit View CT
El Dorado, CA 95623-4609
Phone (530) 409-7511

Other practice location 1

970 Camerado Dr Ste 200
Cameron Park, CA 95682-7636
Phone (530) 677-4404

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
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
225338CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1265729438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 SUMMIT VIEW CT",
            "city": "EL DORADO",
            "state": "CA",
            "postal_code": "956234609",
            "telephone_number": "530-409-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MAIN ST",
            "address_2": "SUITE 318",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675600",
            "telephone_number": "530-409-7511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 Camerado Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cameron Park",
            "state": "CA",
            "postal_code": "956827636",
            "country_code": "US",
            "telephone_number": "530-677-4404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GAYE",
        "name_prefix": "Ms.",
        "credential": "RN, MS, PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "225338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.