Individual provider Active NPI

Antoinette Lynne Gibson

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1932951191
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1139689 Issued in TX
Practice address
5603 FM 1960 Rd W
Houston, TX 77069-4219
Phone
(281) 397-4030
NPI assigned
Apr 2, 2024
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1139689 TX Primary

Addresses

Primary practice location

5603 FM 1960 Rd W
Houston, TX 77069-4219

Mailing address

5603 FM 1960 Rd W
Houston, TX 77069-4219
Phone (281) 397-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016003022 TX Practitioner - Nurse Practitioner 3072056530 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Practice House Calls LLC Family CurrentSince Sep 1, 2024 Accepting new patients
Kingdom House Calls LLC CurrentSince Oct 1, 2024 Accepting new patients
Advance Pharmacy LLC PastSince Sep 1, 2024 Accepting new patients

Locations

2646 S Loop W
Ste 300
Houston, TX 77054
Phone (713) 589-9115

2646 S Loop W
Ste 330
Houston, TX 77054
Phone (281) 888-4407

5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289

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

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1932951191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694219",
            "telephone_number": "281-397-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694219",
            "telephone_number": "281-397-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ANTOINETTE",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1139689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.