Jeannie Giberson

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

SW13517 Issued in FL

Legal business name

JEANNIE GIBERSON

Practice address

4313 Tahitian Gardens Drive K2
Holiday, FL 34691

Phone

(352) 467-4457

NPI assigned

May 24, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Jeannie Junior Giberson, LCSW

Title

Clinician

Phone

(352) 467-4457

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1285081869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 TAHITIAN GARDENS DRIVE K2",
            "address_2": "K2",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "34691",
            "telephone_number": "352-467-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 TAHITIAN GARDENS DRIVE K2",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "34691",
            "telephone_number": "352-467-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNIE GIBERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "GIBERSON",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "JUNIOR",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "352-467-4457",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "SW13517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4902",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "4902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayath Javeed, MD
• Najam Javeed, MD
• Shahina Javeed, MD
• Jazz Health, Inc.
• JDW Health, Inc
• Abdiel Jimenez Rivet
• Janeia Johnson
• Margaret Jane Jones, LMHC
• Nicky Jones, PHARM D
• Jose M Turro MD PA

• General Acute Care Hospital in Holiday, FL
• Providers in Holiday, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.