Active NPI
Holly L Gibbs, CNP
- Adult Health Nurse Practitioner
- Dennison, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NP13523
- Practice address
- 819 N 1St St
Dennison, OH 44621-1003 - Phone
- (740) 922-0000
- Fax
- (740) 922-8042
- NPI assigned
- Aug 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NP13523 | OH | Primary |
Addresses
Primary practice location
819 N 1St St
Dennison, OH 44621-1003
Mailing address
819 N 1St St
Dennison, OH 44621-1003
Phone (740) 922-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6801 Brecksville Rd
Suite 20
Independence, OH 44131-5058
PO Box
Suite 80690
Canton, OH 44708
PO Box
Suite 80690
Canton, OH 44708-0690
Hospital & facility affiliations
- Aultman Hospital
- Aultman Orrville Hospital
- Alliance Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP13523 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aultman North Canton Medical Group | Current | Accepting new patients | |
| North Canton Medical Foundation | Past | Accepting new patients | |
| Neurology and Neuroscience Associates, Inc. | Past | Accepting new patients |
Locations
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200
6046 Whipple Ave NW
#B
North Canton, OH 44720
Phone (330) 491-1670
Interoperability endpoints
- holly.gibbs@direct.aultman.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- North Canton, OH
- NPI 1245257088
-
- Neurology Physician
- Akron, OH
- NPI 1184675720
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- North Canton, OH
- NPI 1649383340
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alliance, OH
- NPI 1942385794
-
- General Acute Care Hospital
- Canton, OH
- NPI 1356366991
-
- Critical Access Hospital
- Orrville, OH
- NPI 1891718375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1285980656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 N 1ST ST",
"city": "DENNISON",
"state": "OH",
"postal_code": "446211003",
"telephone_number": "740-922-0000",
"fax_number": "740-922-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 N 1ST ST",
"city": "DENNISON",
"state": "OH",
"postal_code": "446211003",
"telephone_number": "740-922-0000",
"fax_number": "740-922-8042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "HOLLY",
"middle_name": "L",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "NP13523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dennison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.