Active NPI
Blinda Ann Gibson, MS, CCC-SLP
- Speech-Language Pathologist
- Corpus Christi, TX
National Provider Identifier
1598886913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 102287
- Practice address
- 4205 Wildcat Dr
Corpus Christi, TX 78410-5108 - Phone
- (361) 242-7560
- NPI assigned
- Apr 3, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 102287 | TX | Primary |
Addresses
Primary practice location
4205 Wildcat Dr
Corpus Christi, TX 78410-5108
Mailing address
4521 Ballad Tree Dr
Corpus Christi, TX 78410-5760
Phone (361) 522-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102287 | Other | TX | TDLR |
| 1815938 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | bgibson@calallen.org | Direct |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102287 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1598886913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4521 BALLAD TREE DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784105760",
"telephone_number": "361-522-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 WILDCAT DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784105108",
"telephone_number": "361-242-7560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "BLINDA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "102287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TDLR",
"identifier": "102287",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1815938",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "bgibson@calallen.org",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Calallen ISD Email",
"address_1": "4205 Wildcat Dr",
"city": "Corpus Christi",
"state": "TX",
"country_code": "US",
"postal_code": "784105108",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.