Active NPI
N Gibson Psych NP
- Psychiatric/Mental Health Registered Nurse
- Panama City, FL
National Provider Identifier
1831853340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12023480 | Other | FL | CAQH |
| OV604 | Other | FL | INDIVIDUAL PTAN NUMBER |
| OV598 | Other | FL | GROUP MEDICARE NUMBER |
| 768938100 | Medicaid | FL |
Other names 1
- N GIBSON PSYCH NP
National Provider Directory
National Provider DirectoryNPI 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.