Active NPI
Junette Gibbons, MD
- Gastroenterology Physician
- Washington, DC
National Provider Identifier
1497941371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD11350
- Practice address
- 1150 Varnum St NE
Washington, DC 20017-2149 - Phone
- (202) 269-7000
- Fax
- (202) 269-7892
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD11350 | DC | Primary |
Addresses
Primary practice location
1150 Varnum St NE
Washington, DC 20017-2149
Mailing address
1150 Varnum St NE
Washington, DC 20017-2149
Phone (202) 269-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11350 | DC | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1497941371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 VARNUM ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172149",
"telephone_number": "202-269-7000",
"fax_number": "202-269-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 VARNUM ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172149",
"telephone_number": "202-269-7000",
"fax_number": "202-269-7892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "JUNETTE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "DC",
"license": "MD11350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.