Active NPI
Janeen M Gibson, CRNA
- Certified Registered Nurse Anesthetist
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 14068
- Practice address
- 1 Medical Park Blvd
Bristol, TN 37620-7430 - Phone
- (423) 844-2686
- Fax
- (423) 844-2688
- NPI assigned
- Apr 8, 2009
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 14068 | TN | Primary |
Addresses
Primary practice location
1 Medical Park Blvd
Bristol, TN 37620-7430
Mailing address
165 Duff LN
Bristol, VA 24201-3497
Phone (276) 202-0436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, WV
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451
122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7000
Hospital & facility affiliations
- Wellmont Bristol Regional Medical Center
- Princeton Community Hospital Assn Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14068 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Advanced Anesthesia Solutions Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Paragon Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospitalist Medicine Physicians of West Virginia - South Charleston | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| East River Anesthesiology Inc | Current | Accepting new patients | |
| East Tennessee Ambulatory Surgery Center LLC | Current | Accepting new patients | |
| Meadowview ASC, LLC | Past | Accepting new patients | |
| Singing River Health System | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
320 Bristol West Blvd
Ste 1A
Bristol, TN 37620
Phone (423) 758-1030
350 Blountville Hwy
Ste 108
Bristol, TN 37620
Phone (423) 844-6120
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
10425 Wallace Alley St
Kingsport, TN 37663
Phone (423) 282-9011
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
130 W Stone Dr
Kingsport, TN 37660
10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
2033 Meadowview Ln
Ste 210
Kingsport, TN 37660
Phone (423) 343-7820
Dept 888618
Knoxville, TN 37995
16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
122 12th Street Ext
Princeton, WV 24740
Phone (304) 487-7275
122 12th St
Princeton, WV 24740
Phone (304) 487-7061
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1538174974
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Princeton, WV
- NPI 1063228120
-
- Certified Registered Nurse Anesthetist
- Bristol, TN
- NPI 1164772109
Nurse Anesthetist, Certified Registered
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Anesthesiology Physician
- Princeton, WV
- NPI 1740711795
-
- Ambulatory Surgical Clinic/Center
- Johnson City, TN
- NPI 1659360071
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Ambulatory Surgical Clinic/Center
- Kingsport, TN
- NPI 1629536826
-
- Internal Medicine Physician
- Pascagoula, MS
- NPI 1134283419
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Princeton, WV
- NPI 1558313213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1801039763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 DUFF LN",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242013497",
"telephone_number": "276-202-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207430",
"telephone_number": "423-844-2686",
"fax_number": "423-844-2688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JANEEN",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-08",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "14068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.