Tiffany Gibson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5234289 Issued in FL

Practice address

404 Twin Oak TRL
Cedar Park, TX 78613-3719

Phone

(859) 969-7498

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Beeyond Health and Wellness LLC

  • Clinical Medical Laboratory
  • Cedar Park, TX
  • NPI 1205580727
  NPD Authorized official

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1497408306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 TWIN OAK TRL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133719",
            "telephone_number": "859-969-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 TWIN OAK TRL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133719",
            "telephone_number": "859-969-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5234289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@beeyondhealthandwellness.com",
            "affiliation": "N",
            "address_1": "404 Twin Oak Trl",
            "city": "Cedar Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786133719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffery Wayne Gerhardt, D.D.S.
• Angelique Abigail Geronimo, FNP-BC, RN
• Katie Gerschke, OTR/L
• Sarosh Ghani
• Brad Giang, PT, DPT
• Allison Giltrap, C.N.M
• Matisse Giordano, FNP
• Queanh Gip
• Francisca Giple-Johnson
• Dave Andrew Given, PHARM.D

• Licensed Practical Nurse in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.