Linda I Gibbens, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2255A2300X Issued in ID

Practice address

2112 Cleveland Blvd
Caldwell, ID 83605-4432

Phone

(208) 459-5873

Fax

(208) 459-5854

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rehabauthority, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1730159690
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730217225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 LINFIELD PL",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055197",
            "telephone_number": "208-454-8001",
            "fax_number": "208-454-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 CLEVELAND BLVD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054432",
            "telephone_number": "208-459-5873",
            "fax_number": "208-459-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBENS",
        "first_name": "LINDA",
        "middle_name": "I",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ID",
            "license": "2255A2300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genhealer LLC
• Nicholas Ryan Gensburger, LD
• Andrea Marie Gentry, LPN
• Geoalpha Health Solutions LLC
• Adam James Gerber, DPM
• Timothy James Gilbert, LMSW
• Amy Gill
• Melissa Gilleard, PHARMD
• Jessica Gillet, RN
• K Leanne Givens, RPH

• Athletic Trainer in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Athletic Trainer in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.