Individual provider Active NPI

Kimberly Gibbs, LMT, RMTI

  • Specialist
  • Santa Fe, NM
National Provider Identifier
1417214347
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6215 Issued in NM
Practice address
1315 S Saint Francis Dr Ste 3
Santa Fe, NM 87505-4035
Phone
(505) 795-3357
NPI assigned
Apr 17, 2012
Last updated
Apr 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6215 NM Primary

Addresses

Primary practice location

1315 S Saint Francis Dr Ste 3
Santa Fe, NM 87505-4035

Mailing address

19A Arroyo Nambe
Santa Fe, NM 87506-7120
Phone (505) 795-3357

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

LicenseStateTypeSpecialty
6215NMMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1417214347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19A ARROYO NAMBE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875067120",
            "telephone_number": "505-795-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S SAINT FRANCIS DR STE 3",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054035",
            "telephone_number": "505-795-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "LMT, RMTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "6215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.