Collette Gibbons, MSN, PMHNP, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP029265 Issued in PA

Practice address

135 Technology Dr Ste 204
Canonsburg, PA 15317-9549

Phone

(724) 399-3931

Fax

(866) 601-3186

NPI assigned

Sep 12, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Collette C Gibbons NP LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Canonsburg, PA
  • NPI 1407637374

  Single Specialty

  Medicare reassignment NPD Authorized official
• Fatigati-Nalin & Associates

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1952334922

  Single Specialty

  NPD (past)
• Jalit Tuchinda M.D., PC

  • Specialist
  • MC Kees Rocks, PA
  • NPI 1750311619

  Single Specialty

  NPD (past)
• John C Phillips MD LLC

  • Cardiovascular Disease Physician
  • Pittsburgh, PA
  • NPI 1316129620

  Single Specialty

  NPD (past)
• Ravi Kant, MD PC

  • Psychiatry Physician
  • Bridgeville, PA
  • NPI 1922336668
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1275637837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 TECHNOLOGY DR STE 204",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179549",
            "telephone_number": "724-399-3931",
            "fax_number": "866-601-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 TECHNOLOGY DR STE 204",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179549",
            "telephone_number": "724-399-3931",
            "fax_number": "866-601-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "COLLETTE",
        "name_prefix": "Mrs.",
        "credential": "MSN, PMHNP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgibbons@southpointepsych.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "135 Technology Dr Ste 204",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153179549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Leigh Garrett, OTR/L
• Emily Ryan Gass, LCSW
• Raymond Charles George Jr., LPC
• Charity Joy Geskin, FNP
• Ggnsc Canonsburg LP
• Danielle Gielarowski
• Taranjit Gill
• Donna B. Gisleson, MSN, CRNP
• Ada Goldsmith, DMD
• James Goldsmith, DDS

• Psychiatric/Mental Health Nurse Practitioner in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.