Active NPI
Cassandra Mitchell Gibson, RN
- Registered Nurse
- Baton Rouge, LA
National Provider Identifier
1336346238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 070265
- Practice address
- 11628 S Choctaw Dr
Suite 207
Baton Rouge, LA 70815-2107 - Phone
- (225) 273-6224
- Fax
- (225) 273-6225
- NPI assigned
- Jul 2, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 070265 | LA | Primary |
Addresses
Primary practice location
11628 S Choctaw Dr
Suite 207
Baton Rouge, LA 70815-2107
Mailing address
4324 Lassen Dr
Baton Rouge, LA 70814-5130
Phone (225) 273-6224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070265 | LA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336346238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4324 LASSEN DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708145130",
"telephone_number": "225-273-6224",
"fax_number": "225-273-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11628 S CHOCTAW DR",
"address_2": "SUITE 207",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708152107",
"telephone_number": "225-273-6224",
"fax_number": "225-273-6225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "CASSANDRA",
"middle_name": "MITCHELL",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "070265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.