Tamieka Latrell Alston-Gibson, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

19703 Issued in SC

Practice address

169 Hall St
Spartanburg, SC 29302-1523

Phone

(864) 358-9278

Fax

(564) 308-1167

NPI assigned

Aug 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

University of South Carolina School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Visions Medical Healthcare Services

  • Primary Care Clinic/Center
  • Spartanburg, SC
  • NPI 1730667247

  SC

  Medicare reassignment Authorized official
• PH Health Care Services Inc

  • Community Based Hospice Care Agency
  • Easley, SC
  • NPI 1134491616
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1902273808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 HALL ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021523",
            "telephone_number": "864-358-9278",
            "fax_number": "864-751-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 HALL ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021523",
            "telephone_number": "864-358-9278",
            "fax_number": "564-308-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTON-GIBSON",
        "first_name": "TAMIEKA",
        "middle_name": "LATRELL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "19703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3545",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allergic Disease and Asthma Center
• Allergy Partners, PLLC
• Rebecca S Allison, LPC
• Thomas Frederick Allred, MD
• Madhavi Allu, M.D.
• Alva S Pack III PA
• Rebecca Rechell Alvarez, LPN
• Isaac Edward Alwine, M.D.
• Octavia Amaechi, MD
• Prince Keside Amaechi, M.D.

• All providers in Spartanburg, SC
• Primary Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.