Maggie Giddens, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209016970 Issued in IL

Practice address

4318 S State St
Chicago, IL 60609-3701

Phone

(773) 285-9304

Fax

(773) 564-3501

NPI assigned

Apr 20, 2018

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1629565007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CHICAGO RD",
            "city": "STEGER",
            "state": "IL",
            "postal_code": "604751055",
            "telephone_number": "708-300-6692",
            "fax_number": "708-756-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093701",
            "telephone_number": "773-285-9304",
            "fax_number": "773-564-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDDENS",
        "first_name": "MAGGIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION",
            "identifier": "2017024054",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roland M Gibson Jr., D.D.S
• Sandy Yevette Gibson, D.O.
• Troy Eldon Gibson Jr., M.A., LCPC
• William Samuel James Gibson, MD, PHD
• Donald Giddens
• Jacklyn M Gideon
• Jennifer Anne Gideon, P.T.
• Randi Michelle Gideon, OTR/L
• Patrick James Gidley, MD
• Alexis Giegling, APRN

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.