Carla M Gibson, R.N.

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

2005027068 Issued in MO

Practice address

12655 Olive Blvd
4TH Floor
Saint Louis, MO 63141-6362

Phone

(314) 851-1000

Fax

(314) 851-4477

NPI assigned

Jun 13, 2008

Last updated

Jun 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1871753756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23340",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631563340",
            "telephone_number": "314-851-1000",
            "fax_number": "314-851-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 OLIVE BLVD",
            "address_2": "4TH FLOOR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416362",
            "telephone_number": "314-851-1000",
            "fax_number": "314-851-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CARLA",
        "middle_name": "M",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MO",
            "license": "2005027068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Gibbs
• Matthew J Gibfried, MD
• Joseph Timothy Gibian, MD
• Caitlin Marie Gibson
• Cammy Gibson
• Charmin Meyatta Gibson, M.S.W.
• Danielle L Gibson
• Kellie Gibson
• Kevin James Gibson, MD
• Megan Gibson

• Case Management Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Case Management Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.