Individual provider Active NPI

Shawana Kacher Gibson

  • Registered Nurse
  • Mobile, AL
National Provider Identifier
1821980269
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
10009292 Issued in OR
Practice address
10795 Burlington Estates Dr
Mobile, AL 36608-9470
Phone
(251) 421-8605
NPI assigned
Jul 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95144552 CA
Registered Nurse 163W00000X 209638 CT
Registered Nurse 163W00000X 1-146316 AL
Registered Nurse 163W00000X 869985 NV
Registered Nurse 163W00000X 2524713 MN
Registered Nurse 163W00000X 208938 AK
Registered Nurse 163W00000X 926799 NY
Registered Nurse 163W00000X RN500017312 DC
Registered Nurse 163W00000X 118325 HI
Registered Nurse 163W00000X 4704413458 MI
Registered Nurse 163W00000X 10009292 OR Primary

Addresses

Primary practice location

10795 Burlington Estates Dr
Mobile, AL 36608-9470

Mailing address

10795 Burlington Estates Dr
Mobile, AL 36608-9470
Phone (251) 421-8605

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

LicenseStateTypeSpecialty
208938AKMDRegistered Nurse
1-146316ALMDRegistered Nurse
95144552CAMDRegistered Nurse
209638CTMDRegistered Nurse
RN500017312DCMDRegistered Nurse
118325HIMDRegistered Nurse
4704413458MIMDRegistered Nurse
2524713MNMDRegistered Nurse
869985NVMDRegistered Nurse
926799NYMDRegistered Nurse
10009292ORMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1821980269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10795 BURLINGTON ESTATES DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366089470",
            "telephone_number": "251-421-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10795 BURLINGTON ESTATES DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366089470",
            "telephone_number": "251-421-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SHAWANA",
        "middle_name": "KACHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95144552",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "209638",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-146316",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "869985",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2524713",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "208938",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "926799",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN500017312",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "118325",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704413458",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "10009292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.