Thiago Gibson, CRNP-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R197629 Issued in MD

Practice address

2101 Medical Park Dr Ste 300
Silver Spring, MD 20902-4053

Phone

(301) 802-6493

Fax

(844) 772-9186

NPI assigned

Jul 24, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thiago.gibson.1@16038.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16038/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Embrace Primary Care, LLC

  • Primary Care Clinic/Center
  • Silver Spring, MD
  • NPI 1700311602

  DC

  Medicare reassignment NPD Authorized official
• Suburban/NRH Medical Rehabilitation Inc

  • Rehabilitation Clinic/Center
  • Bethesda, MD
  • NPI 1457354748
  Care Compare group
• Access Now Urgent Care LLC

  • Emergency Medicine Physician
  • Wheaton, MD
  • NPI 1578942223
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1356894596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FIELDBROOK LN",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217714055",
            "telephone_number": "301-367-4046",
            "fax_number": "844-772-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL PARK DR STE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024053",
            "telephone_number": "301-802-6493",
            "fax_number": "844-772-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "THIAGO",
        "credential": "CRNP-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-24",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R197629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Elisabeth Giardini, M.S. CCC-SLP
• Sophia Giavotto
• Neville Gibbs, M.D
• Melody Muyumba Gibson
• Sarah Elizabeth Burkey Gibson, CRNP-PMH
• Feben Gideon
• Elizabeth Gidey, D.D.S.
• Gift of Life
• Angela S. Gilbert, PSY.D.
• Marcia Francine Gilbert, DDS

• Family Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.