Satrina Gibson

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

20037 Lahser Rd
Detroit, MI 48219-1233

Phone

(248) 705-1118

NPI assigned

Apr 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1972290567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MANISTIQUE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482153124",
            "telephone_number": "248-705-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20037 LAHSER RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191233",
            "telephone_number": "248-705-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Manistique St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482153124",
            "country_code": "US",
            "telephone_number": "248-705-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SATRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gibson, DPT
• Juanita Gibson
• Nicole E Gibson
• Rita Zonia Gibson, LMSW
• Samara Denise Gibson, M.D.
• Veronica Warren Gibson, M.A., LLPC
• Willie B Gibson, MD
• Harish Harry Gidda, MD
• Marina Giertz, LLMSW
• Cher Rennie Gieseking, FNP-BC

• Prosthetic/Orthotic Supplier in Detroit, MI
• Providers in Detroit, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.