Tanya Gibbs, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011560 Issued in NC

Practice address

2529 Raeford Rd Ste 6C
Fayetteville, NC 28305-5098

Phone

(910) 973-2689

Fax

(910) 568-3908

NPI assigned

Mar 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tanya.gibbs@311029856206852.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/23854/brand/1/csg/1/fhir/r4

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.

• Rapid Care PLLC

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1952830804
  Medicare reassignment NPD
• Awaken Wellness NC, LLC

  • Clinic/Center
  • Fayetteville, NC
  • NPI 1518630599
  NPD Authorized official
• Cid PA

  • Infectious Disease Physician
  • Fayetteville, NC
  • NPI 1588805188
  NPD (past)
• Fayetteville Plastic Surgery Specialists, PA

  • Plastic Surgery Physician
  • Fayetteville, NC
  • NPI 1093808388
  NPD (past)

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1710445754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 RAEFORD RD STE 6C",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055098",
            "telephone_number": "910-973-2689",
            "fax_number": "910-568-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 RAEFORD RD STE 6C",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055098",
            "telephone_number": "910-973-2689",
            "fax_number": "910-568-3908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1774 Metromedical Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043861",
            "country_code": "US",
            "telephone_number": "910-568-3903",
            "fax_number": "910-568-3908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "TANYA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962494377",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Geyer, PHARMD, RPH
• Emily Fretz Ghassemi
• Solomon T Ghebregziabiher, M.D
• Anna Elizabeth Giardino, CCC-SLP
• Sarah Laverne Gibbs
• Asia Gibson, BT
• Barbara Gibson, LPA
• Dianne Gibson
• Hubert Lee Gibson, LPC
• Jasmine Gibson, PHARM D

• Family Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.