DR. JOHN ALLEN GIBSON (NPI# 1063763282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063763282 |
| Entity Type | Individual |
| Full Name | DR. JOHN ALLEN GIBSON |
| Credential | PH.D. |
| Practice Address |
1100 Mercer Ave Decatur IN 46733-2303 |
| Practice Telephone | 2607242145 |
| Practice Fax Number | 2607283808 |
| Mailing Telephone | 2607242145 |
| Mailing Fax Number | 2607283808 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
28091111A | IN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588929293 | John James Gibson | Pharmacist | 819 W Arapaho Rd, #57, Richardson, TX 75080-5045 | 2012-07-09 |
| 1164653390 | John W Gibson | Orthotist | 7271 Wurzbach Rd Ste 128, San Antonio, TX 78240-4718 | 2009-08-05 |
| 1114190667 | John Gibson | Counselor | 8132 Firestone Blvd # 272, Downey, CA 90241-4231 | 2008-04-04 |
| 1154511772 | John L. Gibson | Psychologist | 12930 James St Ste 130, Holland, MI 49424-8324 | 2007-07-30 |
| 1356498182 | John W Gibson | Social Worker | 3513 Ne 45th St, Suite 2w, Seattle, WA 98105-5660 | 2007-01-04 |
| 1336256528 | John H. Gibson | Acupuncturist | 339 N Alameda Blvd, Las Cruces, NM 88005-2543 | 2006-08-24 |
| 1477565232 | John Steven Gibson | Dentist | 1882 Rohrerstown Rd, Lancaster, PA 17601-2322 | 2006-08-12 |
| 1578509139 | John Ace Gibson | Dentist | 1062 East Lancaster Ave., Apt. 510-11, Bryn Mawr, PA 19010-1524 | 2006-06-21 |
| 1174151138 | John Brian Gibson | Counselor | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2020-03-27 |
| 1730442096 | John Bradley Gibson | Social Worker | 34 Murray St, Waterbury, CT 06710-1920 | 2012-06-21 |
| Street Address |
1100 MERCER AVE |
| City | DECATUR |
| State | IN |
| Zip Code | 46733-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989710 | Haven Dove | Nurse Anesthetist, Certified Registered | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2005-08-10 |
| 1699390179 | Tracey Ann Pruden | Registered Nurse | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2020-06-10 |
| 1649820366 | Katie Fralick | Physician Assistant | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2019-09-14 |
| 1720648686 | Tina Blowers | Nurse Practitioner | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2019-06-13 |
| 1730680372 | Joshua J Fullenkamp | Registered Nurse | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2018-02-27 |
| 1376043752 | Adams County Memorial Hospital | Clinic/Center | 1100 Mercer Ave, Decatur, IN 46733 | 2018-02-13 |
| 1013424035 | Valorie Clouse | Registered Nurse | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2017-12-29 |
| 1114430378 | Baldemar Silva | Social Worker | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2017-11-09 |
| 1932618956 | Adams County Memorial Hospital | Clinic/Center | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2017-09-21 |
| 1467970335 | Sarah A Kuehnert | Dietitian, Registered | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659742617 | Adams County Auditor | Public Health or Welfare | 313 W. Jefferson St., Room # 320, Decatur, IN 46733 | 2015-10-15 |
| 1184908386 | Logan D Anderson | Pharmacist | 123 N. 13th St, Decatur, IN 46733 | 2011-10-06 |
| 1992091797 | Leah D Keller | Social Worker | 815 High St Ste C, Decatur, IN 46733 | 2011-06-21 |
| 1144559493 | Preble Volunteer Firefighting Association, Inc. | Ambulance | 6242 N 400 W, Decatur, IN 46733 | 2009-12-16 |
| 1689703530 | Blake A Taylor | Dentist | 234 N First St, Decatur, IN 46733 | 2007-03-05 |
| 1124163563 | Decatur Dental Services,, Inc. | Dentist | Decatur, 6496 N Piqua Road, Decatur, IN 46733 | 2007-02-21 |
| 1215002597 | Kelly S Ulman | Dentist | 6496 N Piqua Rd, Decatur, IN 46733 | 2006-11-21 |
| 1841362712 | James E Taylor Dds and Associates Family Dentistry | Dentist | 234 N 1st St, Decatur, IN 46733 | 2006-11-15 |
| 1598844946 | Michael Alan Harshman | Optometrist | 815 South 13th St., Decatur, IN 46733 | 2006-11-06 |
| 1184908220 | Carla D Springer | Pharmacist | 123 N 13th St, Decatur, IN 46733 | 2011-10-07 |
| Find all providers in zip 46733 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932496429 | Sarah Brooks | Registered Nurse | 235 E Ponce De Leon Ave Ste 225, Decatur, GA 30030-3488 | 2011-07-05 |
| 1780802660 | Diane Mckoy Cross | Registered Nurse | Dekalb Regional Crisis Center, 450 Winn Way, Decatur, GA 30030-1715 | 2007-04-23 |
| 1306469523 | Julie M Hankins | Registered Nurse | 4110 Us Highway 31 S, Decatur, AL 35603-1644 | 2020-05-21 |
| 1235795121 | Andrea Louise Howard-kennedy | Registered Nurse | 4110 Us Highway 31 S, Decatur, AL 35603-1644 | 2019-05-15 |
| 1568948339 | Natalya Thomas | Registered Nurse | 445 Winn Way, Decatur, GA 30030-1707 | 2018-07-16 |
| 1346604899 | Karen Cook | Registered Nurse | 445 Winn Way, Decatur, GA 30030-1707 | 2016-04-11 |
| 1306200852 | Victoria Benard | Registered Nurse | 445 Winn Way, Decatur, GA 30030-1707 | 2016-04-11 |
| 1306207618 | Kimberly Burkett | Registered Nurse | 1315 13th Ave Se, Decatur, AL 35601-4308 | 2016-03-14 |
| 1891172342 | Deidre Cagle | Registered Nurse | 4110 Us Highway 31 S, Decatur, AL 35603-1644 | 2015-05-05 |
| 1285031344 | Paige Blackwood | Registered Nurse | 4110 Highway 31 South, Decatur, AL 35603 | 2014-12-04 |
| Find all providers in DECATUR | ||||
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| 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.