Gibbs Family Practice, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN17718 Issued in TN

Legal business name

GIBBS FAMILY PRACTICE, LLC

Practice address

7331 Tazewell Pike
Corryton, TN 37721-3516

Phone

(865) 249-8044

NPI assigned

Dec 3, 2015

Last updated

May 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie Heiser, FNPNPI 1124450648

Title

Sole Member

Phone

(865) 249-8044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12578/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Marie Heiser, FNP-BC

  • Family Nurse Practitioner
  • Corryton, TN
  • NPI 1124450648

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Amy Sexton Harrell, MSN, FNP-BC

  • Family Nurse Practitioner
  • Corryton, TN
  • NPI 1962827428
  Medicare reassignment Care Compare group NPD
• Melanie Mitchell

  • Family Nurse Practitioner
  • Maryville, TN
  • NPI 1376081380
  Medicare reassignment NPD
• Maryjane Haney, MSN, FNP-C

  • Family Nurse Practitioner
  • Corryton, TN
  • NPI 1104976950
  NPD (past)
• Brian Gene Stanley, NP-C

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1235171257
  NPD (past)

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1457726374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 TAZEWELL PIKE",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377213516",
            "telephone_number": "865-249-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 TAZEWELL PIKE",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377213516",
            "telephone_number": "865-249-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBBS FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "HEISER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "865-249-8044",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN17718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medical Care Center, LLC
• Family Practice of Corryton
• Farmer Practice LLC (Family Practice of Corryton)
• Fast Pace Medical Clinic PLLC
• Kathie Ford
• Kendall Gigliotti, LMSW
• Benjamin Craig Hamilton, M.D.
• Maryjane Haney, MSN, FNP-C
• Amy Sexton Harrell, MSN, FNP-BC
• Cindy Lou Harrison, RN, CCM

• Family Nurse Practitioner in Corryton, TN
• Providers in Corryton, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.