Active NPI
Laurie Katherine Gibson, OTR/L
- Occupational Therapist
- Hollister, CA
National Provider Identifier
1376721233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9842
- Practice address
- 2690 Cienega Rd
Hollister School District
Hollister, CA 95023-9687 - Phone
- (831) 425-1786
- NPI assigned
- Feb 3, 2008
- Last updated
- Feb 3, 2008
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9842 | CA | Primary |
Addresses
Primary practice location
2690 Cienega Rd
Hollister School District
Hollister, CA 95023-9687
Mailing address
515 California St
Santa Cruz, CA 95060-4219
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 |
|---|---|---|---|
| 9842 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201996800000",
"number": "1376721233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 CALIFORNIA ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 CIENEGA RD",
"address_2": "HOLLISTER SCHOOL DISTRICT",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950239687",
"telephone_number": "831-425-1786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "LAURIE",
"middle_name": "KATHERINE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-03",
"last_updated": "2008-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "9842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollister, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.