Individual provider Active NPI

Eri Gibb, DO

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1679989420
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2264 Issued in NV
Practice address
1321 S Rainbow Blvd Ste 101
Las Vegas, NV 89146-9047
Phone
(702) 476-2287
Fax
(702) 476-2035
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT015791 PA
Family Medicine Physician 207Q00000X DO2264 NV Primary

Addresses

Primary practice location

1321 S Rainbow Blvd Ste 101
Las Vegas, NV 89146-9047

Mailing address

8379 W Sunset Rd Ste 210
Las Vegas, NV 89113-2243
Phone (702) 476-2595

Other practice location 1

9300 Sun City Blvd Ste 101
Las Vegas, NV 89134-1704
Phone (702) 341-9400

Other identifiers 1

IdentifierTypeStateIssuer
1679989420MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20171028000416 NV Practitioner - Family Practice 2769758267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2264NVMDFamily Medicine Physician
OT015791PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Medical Group Coats LTD Family Medicine Current Accepting new patients
Apollocare Partners of Nevada, Inc. PastSince Jan 4, 2026 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1679989420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8379 W SUNSET RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132243",
            "telephone_number": "702-476-2595",
            "fax_number": "725-200-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S RAINBOW BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469047",
            "telephone_number": "702-476-2287",
            "fax_number": "702-476-2035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 Sun City Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891341704",
            "country_code": "US",
            "telephone_number": "702-341-9400",
            "fax_number": "702-341-6442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBB",
        "first_name": "ERI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT015791",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679989420",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.