Active NPI
Brittany Renee Gibson, M.S., CF-SLP
- Pathology Specialist/Technologist
- Woodbridge, VA
National Provider Identifier
1619738507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pathology Specialist/Technologist
- License
- 2204001265
- Practice address
- 14601 Lamar Rd
Woodbridge, VA 22191-2918 - Phone
- (703) 491-1126
- NPI assigned
- Jan 18, 2024
- Last updated
- Jan 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pathology Specialist/Technologist | 246Q00000X | 2204001265 | Primary |
Addresses
Primary practice location
14601 Lamar Rd
Woodbridge, VA 22191-2918
Mailing address
3334 Rollingwood Dr
Woodbridge, VA 22192-4429
Phone (202) 277-1357
Other practice location 1
11970 Hedges Run Dr
Woodbridge, VA 22192-1026
Phone (703) 494-9153
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1619738507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3334 ROLLINGWOOD DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924429",
"telephone_number": "202-277-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14601 LAMAR RD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221912918",
"telephone_number": "703-491-1126"
}
],
"practiceLocations": [
{
"address_1": "11970 Hedges Run Dr",
"address_purpose": "LOCATION",
"city": "Woodbridge",
"state": "VA",
"postal_code": "221921026",
"country_code": "US",
"telephone_number": "703-494-9153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "BRITTANY",
"middle_name": "RENEE",
"credential": "M.S., CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-18",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "246Q00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology",
"state": null,
"license": "2204001265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.