Jeanene Gibson, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN342875 Issued in OH

Practice address

9945 Coventry Court
Mason, OH 45040

Phone

(513) 307-5683

NPI assigned

Oct 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Mammja LLC

  • Nurse's Aide
  • Mason, OH
  • NPI 1881551984
  NPD (past) Authorized official

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1548771439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9945 COVENTRY COURT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-307-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9945 COVENTRY COURT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-307-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JEANENE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN342875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augusta George, PHARMD
• Emily Gerardi, PT, DPT
• Pamela Patricia Gerdes, LISW
• Michael Gerhart, DDS
• Brandy Gettys, M.D.
• Kacie Elizabeth Giffin, LCDCII
• Jennifer Gifford
• Alisha Joanne Gil, CNP
• Amy E Gill, LSW
• Kayla Gillam

• Home Health Registered Nurse in Mason, OH
• Providers in Mason, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.