MRS. TIFFANY SHANTE GIBSON


Address: 291 Broad St, Kernersville, NC 27284-2932
Phone: 3369938181

MRS. TIFFANY SHANTE GIBSON (NPI# 1033212287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033212287
Entity Type Individual
Full Name MRS. TIFFANY SHANTE GIBSON
Credential APRN,BC, MN, RNC
Practice Address 291 Broad St
Kernersville
NC 27284-2932
Mailing Address Po Box 751803
Charlotte
NC 28275-1803
Practice Telephone 3369938181
Practice Fax Number 3369969539
Mailing Telephone 3369938181
Mailing Fax Number 3369969539
Enumeration Date 2006-09-06
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5002056 NC Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
0050-02056 NC Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
0050-02056 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers TIFFANY GIBSON

NPI Name Taxonomy Address Enumeration
1336531151 Tiffany Gibson Nurse Practitioner 595 Rosedown Way, Alpharetta, GA 30022-5886 2015-03-03
1043567860 Tiffany Gibson Licensed Practical Nurse 29 Forest Ridge Rd, Nanuet, NY 10954-4428 2012-08-10
1811594377 Tiffany Ann Gibson Nursing Home Administrator 1307 Williamstown Pike, Williamstown, WV 26187-8168 2020-10-07
1598256059 Tiffany Gibson Behavior Technician 8609 2nd Ave Ste 506b, Silver Spring, MD 20910-3362 2018-05-21
1750603072 Tiffany Shanate Gibson Pharmacist 701 Grove Rd, Employee Pavilion, Greenville, SC 29605-5611 2010-03-01

Office Location

Street Address 291 BROAD ST
City KERNERSVILLE
State NC
Zip Code 27284-2932

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982682993 Alexis A Buzuma Family Medicine 291 Broad St, Kernersville, NC 27284-2932 2006-01-09
1609418748 Sara Garrett Meyer Pharmacist 291 Broad St, Kernersville, NC 27284-2932 2019-10-10
1487117461 Jeffrey Lynn Vanderburg Registered Nurse 291 Broad St, Kernersville, NC 27284-2932 2019-04-08
1306330188 Emilie Siler Pharmacist 291 Broad St, Kernersville, NC 27284-2932 2018-06-15
1184131385 Forsyth Memorial Hospital, Inc Internal Medicine 291 Broad St, Kernersville, NC 27284-2932 2018-01-09
1376068320 Zelda Fleming Nurse Practitioner 291 Broad St, Kernersville, NC 27284-2932 2017-08-11
1932623840 Amy Michelle Mcentarfer Nurse Practitioner 291 Broad St, Kernersville, NC 27284-2932 2017-08-01
1043749245 Shauna Embler Jarrett Nurse Practitioner 291 Broad St, Kernersville, NC 27284-2932 2017-06-09
1710410832 Erin Katherine Raspet Physician Assistant 291 Broad St, Kernersville, NC 27284-2932 2017-04-05
1821416223 Eric Gavour Internal Medicine 291 Broad St, Kernersville, NC 27284 2014-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013549047 Katie Lee Sherman Student in an Organized Health Care Education/Training Program 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 2020-02-07
1861049231 Bethany Medical Center Internal Medicine 975 Hwy 66 S, Kernersville, NC 27284 2019-08-21
1114490810 Lindsey Sarvis Social Worker 2301 Lake Shore Reserve Court, Kernersville, NC 27284 2019-01-04
1073091088 Gastroenterology Associates of The Piedmont, P.a. Internal Medicine 445 Pineview Dr Ste 200b, Kernersville, NC 27284 2018-08-01
1942786629 Brea Anjanee' Washington Nurse Practitioner 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 2018-07-16
1992216246 Charley Elizabeth Cummings Physician Assistant 1635 Nc-66, Kernersville, NC 27284 2017-10-13
1902324304 Susan Marie Garcia Counselor 822 Old Winston Road, Suite 5, Kernersville, NC 27284 2017-09-06
1871034603 Ljp Lab LLC Clinical Medical Laboratory 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 2017-03-13
1912446253 Knew Era Consulting Counselor 335 Creekview Drive, Kernersville, NC 27284 2017-02-20
1144686593 Amber Moore Counselor 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 2016-01-14
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548873664 Rosalynn Maria Solis Nurse Practitioner 1407 Regal View Dr, Kernersville, NC 27284-0060 2020-08-28
1942786629 Brea Anjanee' Washington Nurse Practitioner 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 2018-07-16
1215321559 Meagan Early Cockfield Nurse Practitioner 500 Pineview Dr Ste 101, Kernersville, NC 27284 2015-03-25
1831476019 Amy E. Mitchell Nurse Practitioner 1710 Kernersville Medical Pkwy Ste 201, Kernersville, NC 27284-7156 2011-11-15
1417262023 Crystal M King Nurse Practitioner 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 2010-08-09
1093811705 Dorine H Martin Nurse Practitioner 802 Birch Lane, Suite C, Kernersville, NC 27284-2759 2006-09-16
1265407605 Ladonna Ward Cook Nurse Practitioner 1471 Jag Branch Blvd Ste 105, Kernersville, NC 27284 2006-02-21
1174140776 Samantha Elizabeth Smith Nurse Practitioner 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 2020-06-30
1275167868 Alicia Jane Carter Nurse Practitioner 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 2020-02-24
1508321043 Marissa Gaither Hite Nurse Practitioner 1471 Jag Branch Blvd Ste 103, Kernersville, NC 27284-6956 2019-02-08
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Competitor

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City KERNERSVILLE
Zip Code 27284

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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