Active NPI
Jillian Rae Gibson
- Social Worker
- North Las Vegas, NV
National Provider Identifier
1992080980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 245 E. Centennial Parkway
Apt. 2120
North Las Vegas, NV 89084 - Phone
- (614) 769-3307
- NPI assigned
- Oct 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
245 E. Centennial Parkway
Apt. 2120
North Las Vegas, NV 89084
Mailing address
245 E. Centennial Parkway
Apt. 2120
North Las Vegas, NV 89084
Phone (614) 769-3307
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1992080980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 E. CENTENNIAL PARKWAY",
"address_2": "APT. 2120",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89084",
"telephone_number": "614-769-3307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 E. CENTENNIAL PARKWAY",
"address_2": "APT. 2120",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89084",
"telephone_number": "614-769-3307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JILLIAN",
"middle_name": "RAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.