Active NPI
Katelyn Michelle Gibson, C.N.A.
- Nurse's Aide
- Alcoa, TN
National Provider Identifier
1346768793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 176923
- Practice address
- 255 E Watt St
Alcoa, TN 37701-2236 - Phone
- (865) 273-1616
- Fax
- (865) 273-1645
- NPI assigned
- Sep 6, 2017
- Last updated
- Sep 6, 2017
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 176923 | TN | Primary |
Addresses
Primary practice location
255 E Watt St
Alcoa, TN 37701-2236
Mailing address
6350 W Andrew Johnson Hwy Dept 100
Talbott, TN 37877-8605
Phone (800) 355-3565
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
| License | State | Type | Specialty |
|---|---|---|---|
| 176923 | TN | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1346768793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 W ANDREW JOHNSON HWY DEPT 100",
"city": "TALBOTT",
"state": "TN",
"postal_code": "378778605",
"telephone_number": "800-355-3565",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E WATT ST",
"city": "ALCOA",
"state": "TN",
"postal_code": "377012236",
"telephone_number": "865-273-1616",
"fax_number": "865-273-1645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "KATELYN",
"middle_name": "MICHELLE",
"credential": "C.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "TN",
"license": "176923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alcoa, TN
- Roger Dale Gaddis, DO
- Michael P Gallagher, MD
- Ashley Nicole Ganus, DPT
- Hailey Armstrong Gaskin, APN, FNP-C
- John Trenton Gay, D.O.
- Sarah Gilley, M.D.
- Elizabeth Evangelista Gomez, PHYSICAL THERAPIST
- Romeo San Diego Gomez, PHYSICAL THERAPIST
- Chloe Lorraine Gonzalez Jackson, MD
- Tiffany Monique Gordon, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.