Active NPI
Jessica Gibson, MS, CCC-SLP
- Speech-Language Pathologist
- New Iberia, LA
National Provider Identifier
1922789684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5463
- Practice address
- 1100 Lemaire St
New Iberia, LA 70560-4811 - Phone
- (337) 365-2343
- Fax
- (337) 365-8661
- NPI assigned
- Jul 26, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5463 | LA | Primary |
Addresses
Primary practice location
1100 Lemaire St
New Iberia, LA 70560-4811
Mailing address
1100 Lemaire St
New Iberia, LA 70560-4811
Phone (337) 365-2343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5463 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1922789684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 LEMAIRE ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705604811",
"telephone_number": "337-365-2343",
"fax_number": "337-365-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LEMAIRE ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705604811",
"telephone_number": "337-365-2343",
"fax_number": "337-365-8661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JESSICA",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "5463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.