William Lane Gibbs

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT7872 Issued in TX

Practice address

1661 Woodard Ave Apt 723
Cleburne, TX 76033-7058

Phone

(325) 977-2395

NPI assigned

Aug 24, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1275014581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W FREY ST APT 7108",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011905",
            "telephone_number": "325-977-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 WOODARD AVE APT 723",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337058",
            "telephone_number": "325-977-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "WILLIAM",
        "middle_name": "LANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Matthew Gayler, O.T.
• Genoa Healthcare LLC
• Ashley Nicole Gentry, P.A.
• George T. Pittenger
• Kathryn Gerred
• Donna Kay Gilmore, LPC
• Nancy E Giraldo, LCSW
• Glen R Tessman
• John Michael Glover, DDS
• Michael Timothy Glover, D.O.

• Athletic Trainer in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.