Active NPI
Joanna Francis Gibbons, M.D.
- Family Medicine Physician
- Kenai, AK
National Provider Identifier
1922444009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A14133
- Practice address
- 506 Lake St
Kenai, AK 99611-6937 - Phone
- (907) 714-4025
- NPI assigned
- May 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 20A14133 | CA | Primary |
Addresses
Primary practice location
506 Lake St
Kenai, AK 99611-6937
Mailing address
800 S Victoria Ave, L4615
Vchca - Physician Services
Ventura, CA 93009-0003
Phone (805) 677-5181
Other practice location 1
300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 652-6556
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgibbons1466531@ak.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75.44 of 100
- Quality
- 62.56
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 67.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A14133 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K-Beach Medical Inc. | Current | Accepting new patients |
Locations
43335 Kalifornsky Beach Rd
Ste 18
Soldotna, AK 99669
Phone (907) 262-9993
Interoperability endpoints
- jgibbons1466531@ak.providencedirect.org
- joanna.gibbons@297228672368644.direct.elationemr.com
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Soldotna, AK
- NPI 1376066993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1922444009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S VICTORIA AVE, L4615",
"address_2": "VCHCA - PHYSICIAN SERVICES",
"city": "VENTURA",
"state": "CA",
"postal_code": "930090003",
"telephone_number": "805-677-5181",
"fax_number": "805-677-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 LAKE ST",
"city": "KENAI",
"state": "AK",
"postal_code": "996116937",
"telephone_number": "907-714-4025"
}
],
"practiceLocations": [
{
"address_1": "300 Hillmont Ave",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "930031651",
"country_code": "US",
"telephone_number": "805-652-6556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBBONS",
"first_name": "JOANNA",
"middle_name": "FRANCIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-16",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A14133",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgibbons1466531@ak.providencedirect.org",
"affiliation": "N",
"endpointDescription": "provider direct messaging address",
"address_1": "506 Lake St",
"city": "Kenai",
"state": "AK",
"country_code": "US",
"postal_code": "996116937",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.