Active NPI
Kathryn Michelle Gibson
- Certified Registered Nurse Anesthetist
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704345108
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 205-4946
- NPI assigned
- May 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704345108 | MI | Primary |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806
Other practice location 1
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456
Other practice location 2
7555 Grand River Rd
Brighton, MI 48114-9338
Phone (810) 854-8000
Other practice location 3
7575 Grand River Rd
Brighton, MI 48114-9309
Phone (810) 844-7575
Other practice location 4
12009 Maple Rd
Milan, MI 48160-9516
Phone (254) 718-3932
Other practice location 5
775 S Main St
Chelsea, MI 48118-1399
Phone (254) 718-3932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Michigan Medical School, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 N E Ave
Henry Ford Allegiance Health
Jackson, MI 49201-1753
Phone (517) 205-4800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
205 S East Ave
Jackson, MI 49201
Phone (517) 205-2103
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
Interoperability endpoints
- kgibson918920@direct.hfhs.org
Organizations & group practices 3
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.
-
dba Allegiance Health
- Certified Registered Nurse Anesthetist
- Jackson, MI
- NPI 1598776718
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Chelsea, MI
- NPI 1568542967
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Ford Allegiance Health
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1932783636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL STE 3A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "313-874-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-205-4946"
}
],
"practiceLocations": [
{
"address_1": "5301 McAuley Dr",
"address_purpose": "LOCATION",
"city": "Ypsilanti",
"state": "MI",
"postal_code": "481971051",
"country_code": "US",
"telephone_number": "734-712-3456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7555 Grand River Rd",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MI",
"postal_code": "481149338",
"country_code": "US",
"telephone_number": "810-854-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7575 Grand River Rd",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MI",
"postal_code": "481149309",
"country_code": "US",
"telephone_number": "810-844-7575",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12009 Maple Rd",
"address_purpose": "LOCATION",
"city": "Milan",
"state": "MI",
"postal_code": "481609516",
"country_code": "US",
"telephone_number": "254-718-3932",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "775 S Main St",
"address_purpose": "LOCATION",
"city": "Chelsea",
"state": "MI",
"postal_code": "481181399",
"country_code": "US",
"telephone_number": "254-718-3932",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "KATHRYN",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-08",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704345108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.