Deonte Alonzo Gibbs I, MN-CNL, PMHNP-BC

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

239054-30 Issued in WI

Practice address

2428 N Grandview Blvd Ste 102
Waukesha, WI 53188-6906

Phone

(262) 875-4521

NPI assigned

Apr 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Deonte Alonzo Gibbs I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1790428357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11221 SYNERGY DR APT 384",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532221287",
            "telephone_number": "262-328-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 N GRANDVIEW BLVD STE 102",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531886906",
            "telephone_number": "262-875-4521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11221 Synergy Dr Apt 384",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532221287",
            "country_code": "US",
            "telephone_number": "262-328-7925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "DEONTE",
        "middle_name": "ALONZO",
        "name_suffix": "I",
        "credential": "MN-CNL, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WI",
            "license": "239054-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEONTE",
            "last_name": "GIBBS",
            "middle_name": "ALONZO",
            "prefix": "MR.",
            "suffix": "I",
            "credential": "DEONTE GIBBS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jamie Gfesser
• Anjoo M Gharia, DO
• Gi Specialists LLC (Moreland Endoscopy Center)
• Hayley Gibbon, RDH
• Matthew Gibbons, PT
• Jennifer Gibbs, SAC-IT
• Catherine Gierszewski, LPC
• Breanna Gilbert, PHARM-D
• Elizabeth Ann Gilbert, RN
• Kristiane Marie Gilbert

• Adult Psychiatric/Mental Health Registered Nurse in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.