Individual provider Active NPI

Dameisha Gibson, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1881167211
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024149 Issued in OH
Practice address
21 E State St Ofc 233
Columbus, OH 43215-4281
Phone
(888) 731-8994
NPI assigned
Jan 8, 2019
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 024149 OH Primary

Addresses

Primary practice location

21 E State St Ofc 233
Columbus, OH 43215-4281

Mailing address

21 East St Office 233
Columbus, OH 43215
Phone (513) 452-7005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029004588 OH Practitioner - Nurse Practitioner 1557894557 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024149OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert House Primary Care CurrentSince Oct 28, 2024 Accepting new patients
Osh-Oh Physicians Group PC CurrentSince Aug 4, 2024 Accepting new patients
Signify Health, LLC CurrentSince Aug 25, 2024 Accepting new patients

Locations

2429 Harrison Ave
Cincinnati, OH 45211
Phone (513) 452-7005

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

3009 Burnet Ave
Cincinnati, OH 45219
Phone (513) 242-7164

4966 Glenway Ave
Cincinnati, OH 45238
Phone (513) 242-7164

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1881167211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EAST ST OFFICE 233",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43215",
            "telephone_number": "513-452-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E STATE ST OFC 233",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154281",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "DAMEISHA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.