Active NPI
Allison L Gibson, LPN
- Licensed Practical Nurse
- Buffalo, NY
National Provider Identifier
1720647084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 333324-1
- Practice address
- 1280 Main St 1St Floor
Buffalo, NY 14209-1966 - Phone
- (716) 884-8797
- Fax
- (716) 882-0293
- NPI assigned
- Jun 11, 2019
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 333324-1 | NY | Primary |
Addresses
Primary practice location
1280 Main St 1St Floor
Buffalo, NY 14209-1966
Mailing address
5070 Broadway
Depew, NY 14043
Phone (716) 495-7341
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 |
|---|---|---|---|
| 333324-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1720647084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5070 BROADWAY",
"city": "DEPEW",
"state": "NY",
"postal_code": "14043",
"telephone_number": "716-495-7341",
"fax_number": "716-662-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 MAIN ST 1ST FLOOR",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142091966",
"telephone_number": "716-884-8797",
"fax_number": "716-882-0293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "ALLISON",
"middle_name": "L",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "333324-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.