Susan A Gilbert, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN6104 Issued in TN

Practice address

8000 Centerview Pkwy
Ste 100
Cordova, TN 38018-4289

Phone

(901) 751-4112

Fax

(901) 751-9878

NPI assigned

Sep 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• North Mississippi Medcial Center, Inc.

  dba Radiology Consultants

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1902762487
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1891981478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 CENTERVIEW PKWY",
            "address_2": "STE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184289",
            "telephone_number": "901-751-4112",
            "fax_number": "901-751-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 CENTERVIEW PKWY",
            "address_2": "STE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184289",
            "telephone_number": "901-751-4112",
            "fax_number": "901-751-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R868795",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN6104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atheel Ghrayeb
• Chris Allen Gibson, M.S., D. MIN., LPC
• Roger O. Gibson, M. D.
• Peter Gicheru
• Kelsie Gilbert, M.S.,CCC-SLP
• Fredrick Gillam Jr., LPC-MHSP
• Samuel Baker Gintz, RBT
• Nyesha Girley
• Shantelsa L Gladney, RBT
• Katy Glass

• Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.