Active NPI
Cinda Joan Gibbs Kerbein, PA-C
- Physician Assistant
- Ithaca, NY
National Provider Identifier
1578077863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004438-1
- Practice address
- 840 Hanshaw Rd
Ithaca, NY 14850-1589 - Phone
- (800) 882-7846
- NPI assigned
- Nov 22, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004438-1 | NY | Primary |
Addresses
Primary practice location
840 Hanshaw Rd
Ithaca, NY 14850-1589
Mailing address
840 Hanshaw Rd
Ithaca, NY 14850-1589
Phone (800) 882-7846
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004438-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1578077863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 HANSHAW RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501589",
"telephone_number": "800-882-7846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 HANSHAW RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501589",
"telephone_number": "800-882-7846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERBEIN",
"first_name": "CINDA",
"middle_name": "JOAN GIBBS",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-22",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "004438-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.