Active NPI
Adria Gibbs, MSN, APN, AGACNP-BC
- Acute Care Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 3014147
- Practice address
- 800 Rose St # N212
Lexington, KY 40536-0293 - Phone
- (859) 323-5956
- NPI assigned
- Nov 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209010884 | IL | |
| Acute Care Nurse Practitioner | 363LA2100X | 3014147 | KY | Primary |
Addresses
Primary practice location
800 Rose St # N212
Lexington, KY 40536-0293
Mailing address
800 Rose St # N212
Lexington, KY 40536-0293
Other practice location 1
4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-4409
Other practice location 2
215 E 1st St
Dixon, IL 61021
Phone (815) 288-5531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400403728 | Other | IL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 29TH Ave N
Nashville, TN 37203-1448
Phone (615) 327-4304
110 29TH N Ave
Suite 202
Nashville, TN 37203-1448
Phone (615) 327-4304
2000 Church St
Nashville, TN 37236-0001
Phone (615) 284-5555
2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30700 | TN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Group, PC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Nashville, TN
- NPI 1215932413
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tristar Centennial Medical Center
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
-
dba Ascension Saint Thomas Hospital
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1679902050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROSE ST # N212",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST # N212",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360293",
"telephone_number": "859-323-5956"
}
],
"practiceLocations": [
{
"address_1": "4420 Lake Boone Trl",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276077505",
"country_code": "US",
"telephone_number": "919-784-4409",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 E 1st St",
"address_purpose": "LOCATION",
"city": "Dixon",
"state": "IL",
"postal_code": "61021",
"country_code": "US",
"telephone_number": "815-288-5531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBBS",
"first_name": "ADRIA",
"name_prefix": "Ms.",
"credential": "MSN, APN, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-05",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209010884",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3014147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "F400403728",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.