Kathleen Ann Gibson, RN, CNS, CWOCN

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

1422 Issued in CA

Practice address

1800 N. California St.
Stockton, CA 95213-9008

Phone

(209) 943-2000

Fax

(209) 944-8374

NPI assigned

Sep 6, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912000209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 VERMEER DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953562404",
            "telephone_number": "209-526-5176",
            "fax_number": "209-944-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N. CALIFORNIA ST.",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952139008",
            "telephone_number": "209-943-2000",
            "fax_number": "209-944-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN, CNS, CWOCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "CA",
            "license": "472301",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Sue Giampetro, MA
• Fannie Giang
• Clifton Randall Gibson, R.PH.
• Gregory W Gibson, MA, MFT
• James Leonce Gibson III, SUDRC
• Andrew David Giem, M.D.
• Desiree Gil
• Jennifer Gil
• Caden Gilbert
• Michelle Gilbreath

• Clinical Nurse Specialist in Stockton, CA
• Providers in Stockton, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.