Active NPI
Catherine Gibson, CPNP, RN
- Pediatric Nurse Practitioner
- Austin, TX
National Provider Identifier
1346646650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP124465
- Practice address
- 9411 N Lamar Blvd Ste 120
Austin, TX 78753-4179 - Phone
- (512) 744-6000
- NPI assigned
- Nov 13, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP124465 | TX | Primary |
Addresses
Primary practice location
9411 N Lamar Blvd Ste 120
Austin, TX 78753-4179
Mailing address
9411 N Lamar Blvd Ste 120
Austin, TX 78753-4179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3530651-01 | Medicaid | TX |
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
- Certified Pediatric Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP124465 | TX | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1346646650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9411 N LAMAR BLVD STE 120",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787534179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9411 N LAMAR BLVD STE 120",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787534179",
"telephone_number": "512-744-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "CATHERINE",
"credential": "CPNP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-13",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP124465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3530651-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.