Individual provider Active NPI

Seanne Cecelia Gibson, LM, CPM

  • Midwife
  • Los Angeles, CA
National Provider Identifier
1346396272
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM 171 Issued in CA
Practice address
496 Rainbow Ave
Los Angeles, CA 90065-3952
Phone
(323) 221-7822
Fax
(323) 221-8889
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LM 171 CA Primary

Addresses

Primary practice location

496 Rainbow Ave
Los Angeles, CA 90065-3952

Mailing address

496 Rainbow Ave
Los Angeles, CA 90065-3952
Phone (323) 221-7822

Other names 1

  • Ms. Seannie Cecelia Gibson Other name

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

State licenses

LicenseStateTypeSpecialty
LM 171CAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1346396272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 RAINBOW AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653952",
            "telephone_number": "323-221-7822",
            "fax_number": "323-221-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 RAINBOW AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653952",
            "telephone_number": "323-221-7822",
            "fax_number": "323-221-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SEANNE",
        "middle_name": "CECELIA",
        "name_prefix": "Ms.",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM 171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEANNIE",
            "last_name": "GIBSON",
            "middle_name": "CECELIA",
            "prefix": "MS.",
            "credential": "LM, CPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.