Nicole S Gibran

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD00027510 Issued in WA

Practice address

Harborview Medical Center
325 9TH Ave
Seattle, WA 98104

Phone

(206) 731-3241

NPI assigned

Nov 3, 2006

Last updated

Jan 12, 2012By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1528147287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-543-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARBORVIEW MEDICAL CENTER",
            "address_2": "325 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-731-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBRAN",
        "first_name": "NICOLE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00027510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528147287",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL ID-MOTOR VEHICLE ID",
            "identifier": "8954",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0231072",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Gibbs, RN
• Michael Gibbs
• Samantha Leigh Gibbs, MS, CCC-SLP
• Alexia A Giblin, PHD
• Astrid Antonia Giblin
• Yakita Trenissia Gibrano
• Brandon Gibs, MA
• Ara Gibson
• Chelsea Gibson, M.S.ED, M.PHIL.ED.
• Cheryl Gibson, OTR/L

• Surgery Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.