Theresa Tuckmantel Gibbs, DNP, FNP-BC
Individual provider Active NPI Nurse Practitioner · Boone, NC
NPI 1497271365 · NPPES record last updated Feb 27, 2023
Key facts
- NPI
- 1497271365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5009807 (NC)
- Practice address
- 935 State Farm Rd
Boone, NC 28607-4948 - Phone
- (828) 262-3886
- NPI assigned
- Aug 22, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- High Country Community Health
Practice addresses (Care Compare)
110 Dutchman CT
Elkin, NC 28621-2237
Phone (336) 835-7337
240 Hwy 105 Ext
Suite 100
Boone, NC 28607-4291
Phone (828) 264-7311
301 E Meeting St
Suite 101
Morganton, NC 28655-3594
Phone (828) 624-0300
448 Cranberry St
Newland, NC 28657-8800
Phone (828) 737-0221
560 Malcolm Blvd
Connelly Springs, NC 28612-7918
Phone (828) 874-2061
935 State Farm Rd
Boone, NC 28607-4948
Phone (828) 262-3886
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210209001448 | NC | Practitioner - Nurse Practitioner | 9234544073 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Community Health | Current |
Accepting new patients | |
| High Country Community Health | Current |
Accepting new patients | |
| High Country Community Health | Current |
Accepting new patients | |
| High Country Community Health | Family Medicine | Current |
Accepting new patients |
| High Country Community Health | Current |
Accepting new patients | |
| High Country Community Health | Family Medicine | Current |
Accepting new patients |
| High Country Community Health | Current |
Accepting new patients |
Locations
160 Den-Mac Dr
Boone, NC 28607
Phone (828) 262-3886
240 Highway 105 Ext
Ste 100
Boone, NC 28607
Phone (828) 264-7311
108 Doctors Dr
Boone, NC 28607
Phone (828) 262-3886
935 State Farm Rd
Boone, NC 28607
Phone (828) 262-3886
560 Malcolm Blvd
Connelly Springs, NC 28612
Phone (828) 437-7702
1925 N Bridge St
#101
Elkin, NC 28621
Phone (336) 835-5330
110 Dutchman Ct
Elkin, NC 28621
Phone (336) 835-5330
301 E Meeting St
Ste 101
Morganton, NC 28655
Phone (828) 608-0800
448 Cranberry St
Newland, NC 28657
Phone (828) 737-0221
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJEBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5009807 | NC | Yes |
Addresses
Primary practice location
935 State Farm Rd
Boone, NC 28607-4948
Mailing address
PO Box 1490
Boone, NC 28607-1490
Other practice location 1
1925 N Bridge St Ste 101
Elkin, NC 28621-2105
Phone (336) 835-7337
Other practice location 2
240 Highway 105 Ext Ste 100
Boone, NC 28607-4291
Phone (828) 264-7311
Other practice location 3
448 Cranberry St
Newland, NC 28657-8800
Phone (828) 737-0221
Other practice location 4
301 E Meeting St Ste 101
Morganton, NC 28655-3594
Phone (828) 608-0800
Other practice location 5
560 Malcolm Blvd
Connelly Springs, NC 28612-7918
Phone (828) 874-2061
Other providers in Boone, NC
- Patricia Ann Geiger
- Richard Wayne Geldmeier
- Andrea Lynn Gelsthorpe
- Bethany Pope Gentry
- Chloe Getten
- Lynn Styers Gilbert
- Sarah Ashley Gill
- Westin Gillis
- Lauren Ginocchio
- Lynda Gioia-Flynt
All providers in Boone, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.