Active NPI
Stephanie Gibbons NP PLLC
- Geriatric Medicine (Family Medicine) Physician
- Grandview, WA
National Provider Identifier
1982573812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- STEPHANIE GIBBONS NP PLLC
- Practice address
- 1907 W 2ND St
Grandview, WA 98930-1177 - Phone
- (801) 913-7271
- NPI assigned
- Oct 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Gibbons, NP
- Title
- Ceo
- Phone
- (801) 913-7271
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary |
Addresses
Primary practice location
1907 W 2ND St
Grandview, WA 98930-1177
Mailing address
1907 W 2ND St
Grandview, WA 98930-1177
Phone (801) 913-7271
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Grandview, WA
- NPI 1760245807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762387200000",
"number": "1982573812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 W 2ND ST",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989301177",
"telephone_number": "801-913-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 W 2ND ST",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989301177",
"telephone_number": "801-913-7271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANIE GIBBONS NP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-30",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A",
"authorized_official_last_name": "GIBBONS",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-913-7271",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grandview, WA
- Tariq M. Shiyab, DDS
- Ivan Soto-Martinez, DC
- Katherine Dolores Soto, SW LIC
- Dana Spearin
- Nealeen Stanton, RN
- Stephen Joseph Stott, LICSWA
- Sunnyside Community Hospital Association (Astria Health Center)
- Sunnyside Community Hospital Association (Astria Health Center)
- Laura Sutherland, RD, CD, MS
- Amanda Tobin, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.