Individual provider Active NPI

Tina Spivey Gibson

  • Marriage & Family Therapist
  • Sevierville, TN
National Provider Identifier
1508324948
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1104 Foxwood Dr
Sevierville, TN 37862-6000
Phone
(865) 970-9800
NPI assigned
Mar 5, 2019
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1104 Foxwood Dr
Sevierville, TN 37862-6000

Mailing address

1104 Foxwood Dr
Sevierville, TN 37862-6000
Phone (865) 970-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304002525 TN Practitioner - Marriage and Family Therapist 2466897111 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1616TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Feb 25, 2025 Accepting new patients
Parkwest Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Sleep Associates of East Tennessee PLLC PastSince Oct 27, 2019 Accepting new patients
Helen Ross McNabb Center PastSince Jul 30, 2015 Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

1104 Foxwood Dr
Sevierville, TN 37862
Phone (800) 970-9800

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1508324948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 FOXWOOD DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626000",
            "telephone_number": "865-970-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 FOXWOOD DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626000",
            "telephone_number": "865-970-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TINA",
        "middle_name": "SPIVEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.