Cassondra Lynn Gibeaut, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

201130082LPN Issued in OR

Practice address

5860 NW Highland PL
Corvallis, OR 97330-9729

Phone

(541) 745-5799

NPI assigned

Mar 30, 2011

Last updated

Mar 30, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1578852596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 FULTON ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225737",
            "telephone_number": "541-990-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 NW HIGHLAND PL",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309729",
            "telephone_number": "541-745-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBEAUT",
        "first_name": "CASSONDRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OR",
            "license": "200412048CNA",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201130082LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori A Geter
• Amy Gettings, LCSW
• Wael Ghacham, M.D.
• Lauren Giacobine
• Taylor Gibbs
• Markham Scott Giblin, PHD
• Ian Gibson
• Korina Lew Gibson
• Ryan Brand Gienapp, DO
• Daniel Gienger

• Licensed Practical Nurse in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.