Shiney T Gibbs, NA2
Individual provider Active NPI Nurse's Aide · Carthage, TN
NPI 1497913586 · NPPES record last updated May 27, 2008
Key facts
- NPI
- 1497913586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 303 High St N
Carthage, TN 37030-1429 - Phone
- (615) 735-0242
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Tennessee | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | TN | Yes |
Addresses
Primary practice location
303 High St N
Carthage, TN 37030-1429
Mailing address
303 High St N
Carthage, TN 37030-1429
Phone (615) 735-0242
Other providers in Carthage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.