Individual provider Active NPI

Jessica Rae Gibson

  • Family Nurse Practitioner
  • La Vergne, TN
National Provider Identifier
1457227779
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
40060 Issued in TN
Practice address
5148A Murfreesboro Rd
La Vergne, TN 37086-1009
Phone
(615) 213-2273
Fax
(615) 213-2271
NPI assigned
Oct 14, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 40060 TN Primary

Addresses

Primary practice location

5148A Murfreesboro Rd
La Vergne, TN 37086-1009

Mailing address

5148A Murfreesboro Rd
La Vergne, TN 37086-1009
Phone (615) 213-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20251120002450 TN Practitioner - Nurse Practitioner 4284026477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Quick Care of Lavergne, PCGroup PAC ID 2466638705, 6 clinicians

Practice addresses (Care Compare)

5148 A Murfreesboro Rd
La Vergne, TN 37086-2712
Phone (615) 943-5072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40060TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Quick Care of Lavergne, PC Family Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

5148A Murfreesboro Rd
La Vergne, TN 37086
Phone (615) 213-2273

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1457227779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148A MURFREESBORO RD",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370861009",
            "telephone_number": "615-213-2273",
            "fax_number": "615-213-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5148A MURFREESBORO RD",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370861009",
            "telephone_number": "615-213-2273",
            "fax_number": "615-213-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "40060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vergne, TN

Sources for this page

Verify at the official NPI Registry.