Active NPI
Danielle Gibson
- School Psychologist
- Stafford, VA
National Provider Identifier
1689289738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- PPS-0606670
- Practice address
- 31 Stafford Ave
Stafford, VA 22554-7246 - Phone
- (540) 658-6000
- NPI assigned
- Sep 14, 2020
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | PPS-0606670 | VA | Primary |
Addresses
Primary practice location
31 Stafford Ave
Stafford, VA 22554-7246
Mailing address
209 Hanover St Apt 6
Fredericksburg, VA 22401-5949
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPS-0606670 | VA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stafford County Public Schools | School | Current | Accepting new patients |
Locations
31 Stafford Ave
Stafford, VA 22554
Phone (540) 658-6000
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.
-
- School Psychologist
- Stafford, VA
- NPI 1508471277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1689289738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 HANOVER ST APT 6",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 STAFFORD AVE",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225547246",
"telephone_number": "540-658-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-14",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "PPS-0606670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.