DR. SARA FAITH GIBSON (NPI# 1104814524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104814524 |
Entity Type | Individual |
Full Name | DR. SARA FAITH GIBSON |
Credential | MD |
Practice Address |
1300 S Yale St Flagstaff AZ 86001-6328 |
Mailing Address |
Po Box 579 470 W Cleveland Saint Johns AZ 85936-0579 |
Practice Telephone | 9287747128 |
Mailing Telephone | 9283332683 |
Mailing Fax Number | 9283335595 |
Enumeration Date | 2005-10-10 |
Last Update Date | 2018-05-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
19950 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | MEDICARE LEGACY GROUP # | Z78372 | 01 |
AZ | MEDICARE PROVIDER NUMBER | Z78374 | 01 |
AZ | BCBS PIN | AZ0609250 | 01 |
AZ | UPIN | F46834 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
50 North Hopi Street, Springerville, AZ 85938 | 9283332683 | 9283335595 |
470 West Cleveland, St. Johns, AZ 85936 | 9283332683 | 9283335595 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679007835 | Sara Gibson | Specialist | 3260 Wakefield Dr, Decatur, GA 30034-4554 | 2017-04-14 |
1174120646 | Sara Grace Gibson | Peer Specialist | 19320 E Admiral Pl Ste B, Catoosa, OK 74015-3240 | 2020-10-07 |
1528600970 | Sara Rose Gibson | Optometrist | 800 N Green River Rd, Evansville, IN 47715-2471 | 2019-10-16 |
1053962456 | Sara R Gibson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-09-26 |
1033779418 | Sara Gibson | Case Manager/Care Coordinator | 113 W Convent St, Lafayette, LA 70501-6903 | 2019-06-18 |
1932694734 | Sara Gibson | Behavior Technician | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2018-06-25 |
1265821029 | Sara Phelps Gibson | Physical Therapist | 671 Alexian Way, Signal Mountain, TN 37377-1958 | 2015-01-16 |
1023438470 | Sara Gibson | Pediatrics | 605 Old Austin Hwy, Bastrop, TX 78602-5034 | 2014-04-24 |
1720408156 | Sara Jessica Gibson | Speech-Language Pathologist | 3304 S M St, Fort Smith, AR 72903-2903 | 2014-04-24 |
1922431113 | Sara Gibson | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-08-12 |
Street Address |
1300 S YALE ST |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86001-6328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093727224 | Janet Sheridan | Counselor | 1300 S Yale St, Flagstaff, AZ 86001-6328 | 2006-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
Find all providers in zip 86001 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215147202 | Peter M Weiser | Psychiatry & Neurology | 9000 Arroyo Trl, Flagstaff, AZ 86004-6272 | 2007-05-22 |
1629122510 | Mary Ellen Coy | Psychiatry & Neurology | 405 N Beaver St, Ste. 3, Flagstaff, AZ 86001-4500 | 2007-01-22 |
1245312651 | William Nelson Sheehan | Psychiatry & Neurology | 1515 N. San Francisco St., Flagstaff, AZ 86001-1435 | 2006-10-19 |
1447220207 | Valerie D Guernsey | Psychiatry & Neurology | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2006-01-25 |
1811971187 | Elizabeth J Caspian | Psychiatry & Neurology | 2380 N. Oakmont Drive, Flagstaff, AZ 86004 | 2005-12-01 |
1588654552 | Abigail Dorothy Isakson | Psychiatry & Neurology | 125 E Elm Ave Ste 101, Flagstaff, AZ 86001-3258 | 2005-10-21 |
1194728451 | B Cody Wright | Psychiatry & Neurology | 1515 N San Francisco St, Flagstaff, AZ 86001-1435 | 2005-05-31 |
1881021012 | Boyle Health Services, Pllc | Psychiatry & Neurology | 1515 N San Francisco St, Flagstaff, AZ 86001-1435 | 2013-10-02 |
1417216276 | Kara Lee Larsen | Psychiatry & Neurology | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2012-05-14 |
1275892200 | Northern Arizona Healthcare Provider Group, LLC | Psychiatry & Neurology | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2012-05-11 |
Find all providers in FLAGSTAFF |
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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.