Individual provider Active NPI

Nora Gibbons, MD

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1649634585
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2019-0259 Issued in NM
Practice address
1035 Alto St
Santa Fe, NM 87501-2406
Phone
(505) 982-4425
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2019-0259 NM Primary

Addresses

Primary practice location

1035 Alto St
Santa Fe, NM 87501-2406

Mailing address

6528 Camino Rojo
Santa Fe, NM 87507-3291
Phone (870) 674-4179

Other practice location 1

Msc 09 5040
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721003363 AR Practitioner - Family Practice 1052604972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozark Physical Therapy Inc.Group PAC ID 1052400850, 44 clinicians

Practice addresses (Care Compare)

146 Passion Play Rd
Suite a
Eureka Springs, AR 72632-9455
Phone (479) 253-9746

210 Rice St
Berryville, AR 72616-4388
Phone (870) 423-6789

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Washington Regional Medical System Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Washington Regional Medical System Past Accepting new patients

Locations

146 Passion Play Rd
Ste A
Eureka Springs, AR 72632
Phone (479) 253-2463

114 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 463-2597

Interoperability endpoints

  • Direct secure messaging: noragibbons@wrms.allscriptsdirect.net
  • Direct secure messaging: ngibbons29846@washingtonregional.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1649634585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6528 CAMINO ROJO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073291",
            "telephone_number": "870-674-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 ALTO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012406",
            "telephone_number": "505-982-4425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc 09 5040",
            "address_2": "1 University of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-6607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "NORA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2019-0259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.