Organization Active NPI

N Gibson Psych NP

  • Psychiatric/Mental Health Registered Nurse
  • Panama City, FL
National Provider Identifier
1831853340
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
N GIBSON PSYCH NP
Doing business as
N GIBSON PSYCH NP
Practice address
312 Thomas Dr
Panama City, FL 32408-4902
Phone
(850) 818-2698
NPI assigned
Oct 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Ms. Nancy L. Gibson, APRN
Title
Owner/NP
Phone
(850) 818-2698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X Primary

Addresses

Primary practice location

312 Thomas Dr
Panama City, FL 32408-4902

Mailing address

1016 Thomas Dr # 332
Panama City, FL 32408-7444
Phone (850) 818-2698

Other identifiers 4

IdentifierTypeStateIssuer
12023480OtherFLCAQH
OV604OtherFLINDIVIDUAL PTAN NUMBER
OV598OtherFLGROUP MEDICARE NUMBER
768938100MedicaidFL

Other names 1

  • N GIBSON PSYCH NP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1831853340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 THOMAS DR # 332",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324087444",
            "telephone_number": "850-818-2698",
            "fax_number": "949-437-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 THOMAS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324084902",
            "telephone_number": "850-818-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N GIBSON PSYCH NP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-30",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "850-818-2698",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12023480",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN NUMBER",
            "identifier": "OV604",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "OV598",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768938100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N GIBSON PSYCH NP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "N GIBSON PSYCH NP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.