Individual provider Active NPI

Alana Maria Gibbings, APRN

  • Acute Care Nurse Practitioner
  • Davie, FL
National Provider Identifier
1811686355
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11027583 Issued in FL
Practice address
4130 SW 84TH Ter
Davie, FL 33328-2953
Phone
(954) 309-5232
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9408210 FL
Acute Care Nurse Practitioner 363LA2100X 11027583 FL Primary

Addresses

Primary practice location

4130 SW 84TH Ter
Davie, FL 33328-2953

Mailing address

4130 SW 84TH Ter
Davie, FL 33328-2953
Phone (954) 309-5232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250526000020 FL Practitioner - Nurse Practitioner 8628597440 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9408210FLMDRegistered Nurse
11027583FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Preferred FL PLLC CurrentSince Mar 23, 2025 Accepting new patients
Vitality Ageless Center LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

555 W Granada Blvd
Ste E2
Ormond Beach, FL 32174
Phone (386) 235-6136

17475 S Dixie Hwy
Palmetto Bay, FL 33157
Phone (305) 255-1045

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

277 Route 70
Ste 231
Toms River, NJ 08755
Phone (212) 516-2300

Organizations & group practices 2

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": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1811686355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 SW 84TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282953",
            "telephone_number": "954-309-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 SW 84TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282953",
            "telephone_number": "954-309-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBINGS",
        "first_name": "ALANA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9408210",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11027583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.