Heather Gibson
Individual provider Active NPI Peer Specialist · Archdale, NC
NPI 1669325833 · NPPES record last updated Feb 18, 2026
Key facts
- NPI
- 1669325833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 105 Jackie Ave
Archdale, NC 27263-3385 - Phone
- (336) 688-7858
- NPI assigned
- Feb 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist |
175T00000X | NC | Yes |
Addresses
Primary practice location
105 Jackie Ave
Archdale, NC 27263-3385
Mailing address
105 Jackie Ave
Archdale, NC 27263-3385
Phone (336) 688-7858
Other providers in Archdale, NC
- Hubert L Fiery
- Five Angels Care
- Focus Physical Therapy
- Laura Fritts
- Cathy A Fulp
- Courtney Tuckfield Gill
- Thomas Gresalfi
- Happily Ever After
- Brionna Datrese Harpe
- Sami Hassan
All providers in Archdale, NC · Peer Specialist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.