Kristin Kimberly McDonald Gibson, PHD

Primary specialty

Clinical Molecular Genetics PhysicianTaxonomy code 207SG0203X

License

DRN-02014583 Issued in CA

Practice address

1400 16TH St
San Francisco, CA 94103-5110

Phone

(800) 436-3037

NPI assigned

Aug 5, 2020

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 names 1

• Kristin McDonald Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1669082558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 16TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 16TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035110",
            "telephone_number": "800-436-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KRISTIN",
        "middle_name": "KIMBERLY MCDONALD",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "CA",
            "license": "DRN-02014583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MCDONALD",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adris K Gibson-Beasley
• Carolyn Gibson, PHD, MPH
• Josh Gibson, M.D.
• Justin Tarrance Gibson
• Katherine Lee Gibson
• Laniece Gibson
• Lizbeth Gibson, NP
• Ragina Mishelle Gibson, MFTI
• Suzanne Gibson
• Anne Gicheha

• Clinical Molecular Genetics Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Molecular Genetics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.