Active NPI
Jennifer Nicole Gibney, CRNP
- Occupational Health Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1992316830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Nurse Practitioner
- License
- SP021722
- Practice address
- 833 Chestnut St Ste 205
Philadelphia, PA 19107-4426 - Phone
- (215) 955-6835
- NPI assigned
- Aug 13, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Nurse Practitioner | 363LX0106X | SP021722 | PA | Primary |
Addresses
Primary practice location
833 Chestnut St Ste 205
Philadelphia, PA 19107-4426
Mailing address
133 N Bread St Unit 1A3
Philadelphia, PA 19106-4602
Phone (484) 832-9696
Other practice location 1
1648 Huntingdon Pike
Meadowbrook, PA 19046-8099
Phone (215) 947-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ! | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| SP021722 | PA | MD | Occupational Health Nurse Practitioner |
Interoperability endpoints
- jennifer.gibney.1@17399.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1992316830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 N BREAD ST UNIT 1A3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064602",
"telephone_number": "484-832-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST STE 205",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074426",
"telephone_number": "215-955-6835"
}
],
"practiceLocations": [
{
"address_1": "1648 Huntingdon Pike",
"address_purpose": "LOCATION",
"city": "Meadowbrook",
"state": "PA",
"postal_code": "190468099",
"country_code": "US",
"telephone_number": "215-947-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBNEY",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "PA",
"license": "SP021722",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "!",
"affiliation": "N",
"endpointDescription": "!",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "833 Chestnut St Ste 205",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191074426",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.