Annmarie Lucille Gibson, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704202970 Issued in MI

Practice address

4386 Middledale Ave
West Bloomfield, MI 48323-1160

Phone

(248) 420-1247

NPI assigned

Jun 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Annmarie L Guardiola Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Onsight, Inc.

  • Podiatrist
  • East Lansing, MI
  • NPI 1821248568
  NPD (past)
• Giaimo Mobile Podiatry of WV PLLC

  • Podiatrist
  • Charleston, WV
  • NPI 1386183473
  NPD (past)

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1659753259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4386 MIDDLEDALE AVE",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231160",
            "telephone_number": "248-420-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4386 MIDDLEDALE AVE",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231160",
            "telephone_number": "248-420-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ANNMARIE",
        "middle_name": "LUCILLE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704202970",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704202970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659753259",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNMARIE",
            "last_name": "GUARDIOLA",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Ghannam, DO
• Elisa M. Ghezzi, DDS
• Ptadipta Ghosh
• Shiela Ghosh
• Monique Giannetti, LMSW
• Gigi'S Kids, LLC
• Michelle Lynn Gilson, OTR/L, CHT
• Allison Laura Giniel, CNM
• Anthony Michael Gioannini, DPT, ATC
• Allison Gittleman, LMSW

• Nurse Practitioner in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.