Individual provider Active NPI

Janell Marie Gibson, LDEM

  • Midwife
  • Columbus, MT
National Provider Identifier
1760722300
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
808 Issued in MT
Practice address
506 5TH St N
Columbus, MT 59019
Phone
(406) 321-2158
Fax
(406) 322-5080
NPI assigned
Feb 19, 2013
Last updated
Feb 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 808 MT Primary

Addresses

Primary practice location

506 5TH St N
Columbus, MT 59019

Mailing address

506 5TH St N
Columbus, MT 59019
Phone (406) 321-2158

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

LicenseStateTypeSpecialty
808MTMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1760722300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 5TH ST N",
            "city": "COLUMBUS",
            "state": "MT",
            "postal_code": "59019",
            "telephone_number": "406-321-2158",
            "fax_number": "406-322-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 5TH ST N",
            "city": "COLUMBUS",
            "state": "MT",
            "postal_code": "59019",
            "telephone_number": "406-321-2158",
            "fax_number": "406-322-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JANELL",
        "middle_name": "MARIE",
        "credential": "LDEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MT",
            "license": "808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.