Active NPI
Gibson Ann Hernandez, RN, AGPCNP-BC
- Adult Health Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP135290
- Practice address
- 4115 E Lancaster Ave
Fort Worth, TX 76103-3614 - Phone
- (817) 796-7370
- Fax
- (817) 764-0714
- NPI assigned
- Oct 19, 2017
- Last updated
- Jun 30, 2022
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP135290 | TX | Primary |
Addresses
Primary practice location
4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Mailing address
PO Box 746079
Atlanta, GA 30374-6079
Phone (312) 733-9730
Other practice location 1
2909 S Hampton Rd Ste D-107
Dallas, TX 75224-3000
Phone (214) 467-3832
Other practice location 2
2008 S Wayside Dr Ste 500
Houston, TX 77023-2807
Phone (281) 707-7365
Other practice location 3
4801 S Cooper St Ste 401
Arlington, TX 76017-5963
Phone (817) 813-7100
Other practice location 4
1950 Ephriham Ave
Fort Worth, TX 76164-6670
Phone (817) 813-7075
Other practice location 5
2110 N Galloway Ave Ste 116
Mesquite, TX 75150-5737
Phone (972) 426-5426
Other practice location 6
2928 N Belt Line Rd
Irving, TX 75062-5247
Phone (214) 307-7786
Other practice location 7
2360 Gus Thomasson Rd
Dallas, TX 75228-3005
Phone (214) 301-7071
Other practice location 8
1213 E Trinity Mills Rd Ste 173
Carrollton, TX 75006-1446
Phone (972) 962-1296
Other practice location 9
8840 Benbrook Blvd Ste 101
Benbrook, TX 76126-2173
Phone (817) 813-7101
Other practice location 10
1515 S Buckner Blvd Ste 141
Dallas, TX 75217-1794
Phone (214) 305-7065
Other names 1
- Gibson A Singer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone (817) 796-7370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP135290 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James E. Race MD PA | Current | Accepting new patients | |
| Oak Street Health of Texas, PLLC | Current | Accepting new patients | |
| GLC Wellness Center Texas LLC | Past | Accepting new patients |
Locations
4801 S Cooper St
Ste 401
Arlington, TX 76017
Phone (817) 813-7100
8840 Benbrook Blvd
#101
Benbrook, TX 76126
Phone (817) 813-7101
1213 E Trinity Mills Rd
Ste 173
Carrollton, TX 75006
Phone (972) 962-1296
1515 S Buckner Blvd
Ste 141
Dallas, TX 75217
Phone (214) 305-7065
2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071
2909 S Hampton Rd
#D107
Dallas, TX 75224
Phone (214) 467-3832
2909 S Hampton Rd
Ste D107
Dallas, TX 75224
Phone (214) 333-9175
1950 Ephriham Ave
Fort Worth, TX 76164
Phone (817) 813-7075
4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370
2008 S Wayside Dr
Ste 500
Houston, TX 77023
Phone (281) 707-7365
3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358
2928 N Belt Line Rd
Irving, TX 75062
Phone (214) 307-7786
2110 N Galloway Ave
Ste 116
Mesquite, TX 75150
Phone (972) 426-5426
2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002
Interoperability endpoints
- https://api.platform.athenahealth.com/15811/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Fort Worth, TX
- NPI 1497387419
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1467890954
-
- General Practice Physician
- Duncanville, TX
- NPI 1700433653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1811408644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746079",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746079",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 E LANCASTER AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761033614",
"telephone_number": "817-796-7370",
"fax_number": "817-764-0714"
}
],
"practiceLocations": [
{
"address_1": "2909 S Hampton Rd Ste D-107",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752243000",
"country_code": "US",
"telephone_number": "214-467-3832",
"fax_number": "214-467-3380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2008 S Wayside Dr Ste 500",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770232807",
"country_code": "US",
"telephone_number": "281-707-7365",
"fax_number": "346-206-0353",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4801 S Cooper St Ste 401",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760175963",
"country_code": "US",
"telephone_number": "817-813-7100",
"fax_number": "817-382-5458",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1950 Ephriham Ave",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761646670",
"country_code": "US",
"telephone_number": "817-813-7075",
"fax_number": "817-764-0656",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2110 N Galloway Ave Ste 116",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751505737",
"country_code": "US",
"telephone_number": "972-426-5426",
"fax_number": "459-646-8812",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2928 N Belt Line Rd",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750625247",
"country_code": "US",
"telephone_number": "214-307-7786",
"fax_number": "469-460-9091",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2360 Gus Thomasson Rd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752283005",
"country_code": "US",
"telephone_number": "214-301-7071",
"fax_number": "469-535-8772",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1213 E Trinity Mills Rd Ste 173",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "TX",
"postal_code": "750061446",
"country_code": "US",
"telephone_number": "972-962-1296",
"fax_number": "469-340-4129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8840 Benbrook Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Benbrook",
"state": "TX",
"postal_code": "761262173",
"country_code": "US",
"telephone_number": "817-813-7101",
"fax_number": "817-382-5458",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1515 S Buckner Blvd Ste 141",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752171794",
"country_code": "US",
"telephone_number": "214-305-7065",
"fax_number": "469-574-0383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "GIBSON",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RN, AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-19",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP135290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GIBSON",
"last_name": "SINGER",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.