Active NPI
Salome Gibson
- Behavior Analyst
- Brooklyn, NY
National Provider Identifier
1942740519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 770353131
- Practice address
- 3025 W 32ND St
Apt 12C
Brooklyn, NY 11224-1746 - Phone
- (718) 877-9133
- NPI assigned
- Mar 2, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 770353131 | NY | Primary |
| Health Educator | 174H00000X | 770353131 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 770353131 | NY |
Addresses
Primary practice location
3025 W 32ND St
Apt 12C
Brooklyn, NY 11224-1746
Mailing address
3025 W 32ND St
Apt 12C
Brooklyn, NY 11224
Phone (718) 877-9133
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 770353131 | NY | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1942740519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 W 32ND ST",
"address_2": "APT 12C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11224",
"telephone_number": "718-877-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 W 32ND ST",
"address_2": "APT 12C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112241746",
"telephone_number": "718-877-9133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "SALOME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "770353131",
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "770353131",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "770353131",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.