Active NPI
Leonora Gibson, RN
- Case Management Registered Nurse
- Carrollton, TX
National Provider Identifier
1629216858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 740217
- Practice address
- 2726 Renwick Dr
Carrollton, TX 75007-5928 - Phone
- (214) 228-9134
- Fax
- (214) 483-6240
- NPI assigned
- Jan 26, 2009
- Last updated
- Jan 26, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 740217 | TX | Primary |
| Home Health Registered Nurse | 163WH0200X | 740217 | TX |
Addresses
Primary practice location
2726 Renwick Dr
Carrollton, TX 75007-5928
Mailing address
2810 E Trinity Mills Rd
#121
Carrollton, TX 75006-2545
Phone (214) 228-9134
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 740217 | TX | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assist Management LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Carrollton, TX
- NPI 1063653814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232928000000",
"number": "1629216858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 E TRINITY MILLS RD",
"address_2": "#121",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750062545",
"telephone_number": "214-228-9134",
"fax_number": "214-483-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2726 RENWICK DR",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075928",
"telephone_number": "214-228-9134",
"fax_number": "214-483-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "LEONORA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-26",
"last_updated": "2009-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "TX",
"license": "740217",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "740217",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.