Individual provider Active NPI

Noreen D. Gibbens, M.S.

  • Audiologist-Hearing Aid Fitter
  • Paducah, KY
National Provider Identifier
1780750158
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
A000001570 Issued in TN
Practice address
2605 Kentucky Ave
Paducah, KY 42003-3800
Phone
(270) 408-4368
Fax
(270) 408-3272
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X A000001570 TN Primary

Addresses

Primary practice location

2605 Kentucky Ave
Paducah, KY 42003-3800

Mailing address

2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ngibbens79683@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190108000817 KY Practitioner - Qualified Audiologist 8426183203 Reassigns benefits to 2 organizations
I20191118000434 TN Practitioner - Qualified Audiologist 8426183203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Hearing of TennesseeGroup PAC ID 3072818517, 7 clinicians
Jeffrey Leider MD PLLCGroup PAC ID 0941469621, 19 clinicians

Practice addresses (Care Compare)

10055 Rhea County Hwy
Dayton, TN 37321-7937
Phone (248) 528-2116

35 Augusta Ave
Ft Wright, KY 41011-3603
Phone 24852821166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1570TNMDProfessional Counselor
A000001570TNMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 7, 2019 Accepting new patients
Mobile Hearing of Tennessee CurrentSince Sep 8, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 7, 2019 Accepting new patients
Jeffrey Leider MD PLLC CurrentSince Jun 20, 2019 Accepting new patients
Jeffrey Leider MD PLLC CurrentSince Jun 20, 2019 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

2605 Kentucky Ave
Ste 601
Paducah, KY 42003
Phone (270) 408-3238

2605 Kentucky Ave
Paducah, KY 42003
Phone (270) 408-4368

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

10055 Rhea County Hwy
Dayton, TN 37321
Phone (423) 847-6777

Interoperability endpoints

  • Direct secure messaging: noreen.gibbens.p1@direct.360care.nextgenshare.com
  • Direct secure messaging: noreen.gibbens.p2@direct.360care.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1780750158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STANLEY GAULT PKWY STE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235176",
            "telephone_number": "502-253-4900",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033800",
            "telephone_number": "270-408-4368",
            "fax_number": "270-408-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBENS",
        "first_name": "NOREEN",
        "middle_name": "D.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TN",
            "license": "A000001570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngibbens79683@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2605 Kentucky Avenue",
            "address_2": "Med Park 3, Suite 601",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "42003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.