Active NPI
Melissa Gibson
- Licensed Vocational Nurse
- Redding, CA
National Provider Identifier
1881268423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 37728
- Practice address
- 1090 East Cyrpess Ave
Suit B
Redding, CA 96002 - Phone
- (530) 223-2332
- Fax
- (530) 223-4723
- NPI assigned
- May 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 37728 | CA | Primary |
Addresses
Primary practice location
1090 East Cyrpess Ave
Suit B
Redding, CA 96002
Mailing address
3605 Seneca CT
Redding, CA 96001-3414
Phone (530) 941-0246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 454700010 | Other | CA | STAFFING |
Other names 1
- Melissa Landon
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | reddingca@arcadiahomecare.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1881268423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 SENECA CT",
"city": "REDDING",
"state": "CA",
"postal_code": "960013414",
"telephone_number": "530-941-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 EAST CYRPESS AVE",
"address_2": "SUIT B",
"city": "REDDING",
"state": "CA",
"postal_code": "96002",
"telephone_number": "530-223-2332",
"fax_number": "530-223-4723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "37728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAFFING",
"identifier": "454700010",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "reddingca@arcadiahomecare.com",
"affiliation": "N",
"endpointDescription": "reddingca@arcadiahomecare.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "reddingca@arcadiahomecare.com",
"address_1": "1090 East Cyrpess ave",
"address_2": "suit B",
"city": "Redding",
"state": "CA",
"country_code": "US",
"postal_code": "96002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "LANDON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.