Active NPI
Taylor Brooke Gibson
- Registered Nurse
- Urbana, OH
National Provider Identifier
1821869306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.519958
- Practice address
- 5940 Nettlecreek Rd
Urbana, OH 43078-8608 - Phone
- (937) 869-3805
- NPI assigned
- Jan 12, 2024
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.519958 | OH | Primary |
Addresses
Primary practice location
5940 Nettlecreek Rd
Urbana, OH 43078-8608
Mailing address
5940 Nettlecreek Rd
Urbana, OH 43078-8608
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.519958 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1821869306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 NETTLECREEK RD",
"city": "URBANA",
"state": "OH",
"postal_code": "430788608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 NETTLECREEK RD",
"city": "URBANA",
"state": "OH",
"postal_code": "430788608",
"telephone_number": "937-869-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "TAYLOR",
"middle_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.519958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.