Rachel Moore Gibson, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND9524 Issued in FL

Practice address

5145 S Dale Mabry Hwy Unit 20412
Tampa, FL 33611-3677

Phone

(803) 201-4779

NPI assigned

Nov 8, 2020

Last updated

Nov 8, 2020By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1588265268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 S DALE MABRY HWY UNIT 20412",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113677",
            "telephone_number": "803-201-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 S DALE MABRY HWY UNIT 20412",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113677",
            "telephone_number": "803-201-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "RACHEL",
        "middle_name": "MOORE",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND9524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86084369",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "ND9524",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carri-Ann Megargel Gibson, MD
• Jami Lyn Gibson, M.D.
• Kirby Gibson
• Lacie Gibson
• Natalie Gibson
• Samantha Josephine Gibson, MD
• Tara Lynn Gibson, M.D.
• Warren Carrico Gibson, MS CCC SLP
• Maria Giddarie, FNP-BC
• Michelle Giddens

• Registered Dietitian in Tampa, FL
• Providers in Tampa, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2020; 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.