Judith Gibson, MSOM, DIPL ACU, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

173 Issued in TN

Practice address

3808 Park Ave
Nashville, TN 37209-3741

Phone

(615) 499-0789

NPI assigned

Aug 28, 2020

Last updated

Aug 28, 2020By the provider in NPPES

Sex

Female

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1447863337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 DEER WOOD TRL",
            "city": "PEGRAM",
            "state": "TN",
            "postal_code": "371435061",
            "telephone_number": "608-235-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 PARK AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093741",
            "telephone_number": "615-499-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JUDITH",
        "credential": "MSOM, DIPL ACU, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TN",
            "license": "173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine L Gibson
• Jayme Gibson, ACNP-BC
• Jeffrey Brooks Gibson, MD
• Jewyl C Gibson, DNP, MSN, PMHNP-BC
• John R Gibson, M.D.
• Katherine Gibson, BCBA
• Kathryn Gibson, CRNA
• Lauren Michelle Gibson
• Lisa Dawn Gibson, M.D.
• Michael Kevin Gibson, M.D. PHD

• Acupuncturist in Nashville, TN
• Providers in Nashville, TN by specialty
• Acupuncturist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.