Cameron Richard Gibson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

240 S Humahuaca St
Pahrump, NV 89048-2199

Phone

(775) 751-7406

Fax

(775) 751-7409

NPI assigned

Apr 21, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1366024259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 GREENBRIAR TOWNHOUSE WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212449",
            "telephone_number": "951-219-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S HUMAHUACA ST",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482199",
            "telephone_number": "775-751-7406",
            "fax_number": "775-751-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CAMERON",
        "middle_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Gelsone
• Daniel Gendelman, CADC-I
• Sanya Bernice Genung
• Georges Tannoury MD Professional Corporation
• Anna Marie Gibson
• Kathryn Elizabeth Gilman, ADN, BSN, MSN, FNP-C
• Goedhart Medical Group
• Renae Sue Goedhart, APRN
• Charles Goetz
• Lisa Goins

• Case Manager/Care Coordinator in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Case Manager/Care Coordinator in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.