Gibril Kelleh Kargbo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

C-APN.0001023-C-NP Issued in CO

Practice address

2219 Rimland Dr Ste 301
Bellingham, WA 98226-8759

Phone

(855) 722-9700

NPI assigned

Oct 6, 2017

Sex

Male

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

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rejuvenation Medical PLLCGroup PAC ID 4880083062, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rejuvenation Medical PLLC

  • Family Medicine Physician
  • Shoreline, WA
  • NPI 1447712559
  Medicare reassignment Care Compare group NPD
• Bastion Health PC

  dba Crown Health

  • Family Medicine Physician
  • Tukwila, WA
  • NPI 1750921193
  Medicare reassignment NPD

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1609386440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73488",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983730488",
            "telephone_number": "855-722-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 RIMLAND DR STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268759",
            "telephone_number": "855-722-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5023 W 120th Ave Ste 312",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800205606",
            "country_code": "US",
            "telephone_number": "720-644-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARGBO",
        "first_name": "GIBRIL",
        "middle_name": "KELLEH",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-06",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60951772",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0001023-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elise Kapostasy, LPC, LMHC
• Lacey Kara, CPD
• Barbara Karabin, P.T.
• Jill Lenore Karber
• Karen King Counseling LLC (King Health Associates)
• Nina Elizabeth Karhinen, RDH, MS
• Farabi N Karim, MD
• Chloe Karnes
• Alana Ruth Karsch, MA, LMHC
• Adam A Kartman, MD

• Family Nurse Practitioner in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.