Gina Lynn Gibson, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

309 Saint Julien Ave Ste 201
Lafayette, LA 70506-4655

Phone

(337) 706-1940

NPI assigned

Feb 14, 2009

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Female

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

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1234569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1295974210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SAINT JULIEN AVE STE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064655",
            "telephone_number": "337-706-1940",
            "fax_number": "337-233-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SAINT JULIEN AVE STE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064655",
            "telephone_number": "337-706-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 W Pinhook Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705083735",
            "country_code": "US",
            "telephone_number": "337-534-4214",
            "fax_number": "337-484-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GINA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-14",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "LA",
            "license": "1091",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leilani Gibbens
• Monica Lynn Gibbs, RD, LDN
• Myra Gibbs
• Jessica Gibson Kendrick, LPC
• Gibson Sales LP (Drug Emporium 220)
• Lauren D Gibson, DPM
• Nicole Gibson, B.S.
• Quartivia Gibson
• Sara Gibson
• Guy Rees Gideon, CAC

• Clinical Neuropsychologist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Clinical Neuropsychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.