Karen Fay Gibson, MLS (MT,CLS)

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

183543

Practice address

29 Blackcoal Dr.
Laboratory
Fort Washakie, WY 82514

Phone

(307) 332-7672

NPI assigned

Jan 21, 2010

Last updated

Jan 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1821329459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11574 HIGHWAY 26",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825019249",
            "telephone_number": "307-857-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BLACKCOAL DR.",
            "address_2": "LABORATORY",
            "city": "FORT WASHAKIE",
            "state": "WY",
            "postal_code": "82514",
            "telephone_number": "307-332-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KAREN",
        "middle_name": "FAY",
        "name_prefix": "Ms.",
        "credential": "MLS (MT,CLS)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": "183543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Renee Erickson, RDH
• Robin Fiske, RN
• Fort Washakie Health Center Pharmacy
• Garth Nelson Foster, P.T.
• Dawn Rae Gardner, R,N
• Nancy Ann Gilbert, R.N.
• Erica Rose Golon
• Deana Lin Gudmundsen, COTA/L
• Jenaneta S. Hampton, FNP-C
• Roland Hart, PH.D.

• Clinical Medical Laboratory in Fort Washakie, WY
• Providers in Fort Washakie, WY by specialty
• Clinical Medical Laboratory in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.