Individual provider Active NPI

Florencetta H Gibson

  • Clinical Nurse Specialist
  • Monroe, LA
National Provider Identifier
1972564755
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
RN036503 AP01392 Issued in LA
Practice address
300 Washington St
Suite 208
Monroe, LA 71201-6714
Phone
(318) 322-8482
Fax
(318) 322-5694
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X RN036503 AP01392 LA Primary

Addresses

Primary practice location

300 Washington St
Suite 208
Monroe, LA 71201-6714

Mailing address

300 Washington St
Suite 208
Monroe, LA 71201-6714
Phone (318) 322-8482

Other identifiers 1

IdentifierTypeStateIssuer
1164101MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20101213001128 LA Practitioner - Certified Clinical Nurse Specialist (CNS) 8820285133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

300 Washington St
Monroe, LA 71201-6762
Phone (318) 322-8482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
01392LAMDPhysical Therapist
RN036503 AP01392LAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Florencetta Gibson, CNS LMFT Inc CurrentSince Aug 27, 2010 Accepting new patients

Locations

300 Washington St
Ste 208
Monroe, LA 71201
Phone (318) 322-8482

300 Washington St
Ste 204
Monroe, LA 71201
Phone (318) 322-8482

Interoperability endpoints

  • Direct secure messaging: fgibson16205@direct.casso.us.com

Organizations & group practices 1

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1972564755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON ST",
            "address_2": "SUITE 208",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016714",
            "telephone_number": "318-322-8482",
            "fax_number": "318-322-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON ST",
            "address_2": "SUITE 208",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016714",
            "telephone_number": "318-322-8482",
            "fax_number": "318-322-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "FLORENCETTA",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "LA",
            "license": "RN036503 AP01392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164101",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.