Crystal Gibbs

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

86289 Issued in SC

Practice address

301 Hillcrest Dr
Laurens, SC 29360-2343

Phone

(864) 984-3568

NPI assigned

Aug 8, 2024

Last updated

Aug 8, 2024By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1285465773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HILLCREST DR",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HILLCREST DR",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602343",
            "telephone_number": "864-984-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "86289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• GHS Partners in Health,Inc (Laurens Family Practice)
• Kathy Golding Gibbs
• Chitra Gidwani
• Shannon M Giglotti, DPT
• Gilchrist Consultation and Counseling
• Tiffany Goggans, FNP-C

• School Registered Nurse in Laurens, SC
• Providers in Laurens, SC by specialty
• School Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.