Individual provider Active NPI

Nneka Gibney

  • Mental Illness Community Based Residential Treatment Facility
  • Sparks, NV
National Provider Identifier
1801267356
Registry record updated Oct 9, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Dec 20, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
474961824 Issued in NV
Practice address
1877 El Rancho Dr Apt 22
Sparks, NV 89431-1080
Phone
(775) 870-0943
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 474961824 NV Primary

Addresses

Primary practice location

1877 El Rancho Dr Apt 22
Sparks, NV 89431-1080

Mailing address

1877 El Rancho Dr Apt 20
Sparks, NV 89431-1080
Phone (585) 690-1440

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Assistance Community Based Residential Treatment Facility, Mental Illness Past Accepting new patients

Organizations & group practices 1

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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1801267356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 EL RANCHO DR APT 20",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894311080",
            "telephone_number": "585-690-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877 EL RANCHO DR APT 22",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894311080",
            "telephone_number": "775-870-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBNEY",
        "first_name": "NNEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NV",
            "license": "474961824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.