Individual provider Active NPI

Teresa L Gibson, APRN, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Hazard, KY
National Provider Identifier
1548803877
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1082663 Issued in KY
Practice address
102 Medical Center Dr
Hazard, KY 41701-9421
Phone
(606) 439-6713
Fax
(606) 439-6710
NPI assigned
Oct 18, 2019
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1082663 KY Primary

Addresses

Primary practice location

102 Medical Center Dr
Hazard, KY 41701-9421

Mailing address

214 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-4414

Other practice location 1

214 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-4414

Other identifiers 1

IdentifierTypeStateIssuer
7100636590MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address teresagibson@arh.medalliesdirect.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218002844 KY Practitioner - Nurse Practitioner 5991139263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-6255

240 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1082663KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Nov 6, 2019 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Nov 6, 2019 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients

Locations

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

102 Medical Dr
Hazard, KY 41701
Phone (606) 439-6713

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

9480 Highway 805
Jenkins, KY 41537
Phone (606) 832-2171

214 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3631

Interoperability endpoints

  • Direct secure messaging: teresagibson@arh.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1548803877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "606-633-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019421",
            "telephone_number": "606-439-6713",
            "fax_number": "606-439-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Whitesburg",
            "state": "KY",
            "postal_code": "418587627",
            "country_code": "US",
            "telephone_number": "606-633-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TERESA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "APRN, PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "1082663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100636590",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "teresagibson@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "214 Hospital Rd",
            "city": "Whitesburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "418587627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.