Danielle L Gibson

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

LC1783047 Issued in MO

Practice address

2736 Sedan Dr
Saint Louis, MO 63125-4054

Phone

(131) 459-8549

NPI assigned

May 3, 2021

Last updated

May 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haven Hands LLC

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1225605728
  NPD Authorized official

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1912580333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 SEDAN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254054",
            "telephone_number": "314-598-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 SEDAN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254054",
            "telephone_number": "131-459-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "DANIELLE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MO",
            "license": "LC1783047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Timothy Gibian, MD
• Caitlin Marie Gibson
• Cammy Gibson
• Carla M Gibson, R.N.
• Charmin Meyatta Gibson, M.S.W.
• Kellie Gibson
• Kevin James Gibson, MD
• Megan Gibson
• Melissa Claire Gibson, RD, LDN
• Michael Gibson

• Home Health Aide in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.