Active NPI
Leilani Gibbens
- Family Nurse Practitioner
- Lafayette, LA
National Provider Identifier
1689031882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP08625
- Practice address
- 401 Audubon Blvd
Suite 102B
Lafayette, LA 70503-2676 - Phone
- (337) 237-7801
- NPI assigned
- Jan 20, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP08625 | LA | Primary |
Addresses
Primary practice location
401 Audubon Blvd
Suite 102B
Lafayette, LA 70503-2676
Mailing address
105 Royalton Pkwy
Lafayette, LA 70507-7025
Phone (318) 201-0258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiffany Roy, FNP, L.L.C. | Current | Accepting new patients |
Interoperability endpoints
- leilani.gibbens.p1@direct.alegiscare.nextgenshare.com
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.
-
- Primary Care Clinic/Center
- Duson, LA
- NPI 1699930719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1689031882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 ROYALTON PKWY",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705077025",
"telephone_number": "318-201-0258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 AUDUBON BLVD",
"address_2": "SUITE 102B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032676",
"telephone_number": "337-237-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBENS",
"first_name": "LEILANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-20",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP08625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.