MICHELLE JENISE GIBSON (NPI# 1164065983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164065983 |
| Entity Type | Individual |
| Full Name | MICHELLE JENISE GIBSON |
| Credential | CPNP-AC |
| Practice Address |
4900 Mueller Blvd Austin TX 78723-3079 |
| Mailing Address |
11800 Hornsby St Austin TX 78753-2115 |
| Practice Telephone | 5123240173 |
| Mailing Telephone | 5127362430 |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
AP143745 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245664432 | Michelle Renee Gibson | Licensed Practical Nurse | 7965 Old Town Rd, Mount Perry, OH 43760-9656 | 2013-08-25 |
| 1124077136 | Michelle Bender Gibson | Nurse Practitioner | 2232 Wilborn Ave, Suite D, Hematology Oncology Practice of Southside Va, PC, South Boston, VA 24592-1662 | 2006-05-08 |
| 1659366854 | Michelle J Gibson | Pediatrics | 5440 Watkins Dr, Suite B, Jackson, MS 39206-2034 | 2005-09-13 |
| 1902414709 | Michelle Nicole Gibson | Nurse Practitioner | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 | 2020-07-17 |
| 1770054769 | Michelle Gibson | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2018-12-17 |
| 1386198067 | Michelle Gibson | Nurse Practitioner | 940 Belmont St, Brockton, MA 02301-5596 | 2016-08-10 |
| 1184960940 | Michelle Kristina Gibson | Physical Therapist | 5860 College Rd, Key West, FL 33040-4314 | 2012-12-26 |
| Street Address |
4900 MUELLER BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78723-3079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102175 | Cathleen M. Havemann | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2005-05-23 |
| 1235744418 | Ana F. El Behadli Gonzalez | Psychologist | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-09-14 |
| 1205449469 | Audrey Cortesi | Psychologist | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-08-27 |
| 1134746902 | Catherine Dusing | Student in an Organized Health Care Education/Training Program | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-06-28 |
| 1003433863 | Kaitlyn Mosher | Student in an Organized Health Care Education/Training Program | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-06-28 |
| 1558980656 | Devika Pillay | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-04-09 |
| 1801429550 | Ashley Griffin | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-02-20 |
| 1770123093 | Anika Lockhart | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-01-14 |
| 1417594102 | Rebecca J Blackwell | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2019-12-02 |
| 1861037038 | Rachel Annette Cano Brendlinger | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2019-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787318 | Bridget Wilson | Counselor | 6448 East Hwy 290, Suite F108, Austin, TX 78723 | 2019-02-25 |
| 1700378999 | Andrew Christopher Shanks | Counselor | 2132 Antone St, Austin, TX 78723 | 2018-06-04 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1215433354 | Erika Senai Ramirez | Nurse Practitioner | 6900 Ed Bluestein Blvd, Austin, TX 78723 | 2018-04-05 |
| 1518477645 | Brigitte Tyree | Registered Nurse | 2237 Zach Scott St, Austin, TX 78723 | 2017-10-03 |
| 1942735980 | Ila Sehgal | Pediatrics | 4900 Mueller Blvd, Ste 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2017-04-27 |
| 1851825194 | Terry Blackmon | Behavioral Analyst | 2021 Zach Scott St, Austin, TX 78723 | 2017-04-13 |
| 1114337961 | Cassandra Sorensen | Home Health | 3001 Maplelawn Circle, Austin, TX 78723 | 2014-05-02 |
| 1336569052 | Ricky C Mehta | Internal Medicine | 6210 E Hwy 290 Ste 420, Austin, TX 78723 | 2014-04-21 |
| 1356761373 | Peter Caldwell Gilbreath | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2014-04-17 |
| Find all providers in zip 78723 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536323 | Shae Clark | Nurse Practitioner | 4900 Mueller Blvd Ste 3s.003, Austin, TX 78723-3079 | 2020-07-24 |
| 1417594102 | Rebecca J Blackwell | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2019-12-02 |
| 1861037038 | Rachel Annette Cano Brendlinger | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2019-11-12 |
| 1518402361 | Hannah Noori | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2017-01-04 |
| 1285078873 | Jennifer Joyner | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2013-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205474582 | Jill Yvonne Steinbach | Nurse Practitioner | 1216 Oakwood Ct, Flower Mound, TX 75028-3689 | 2019-12-17 |
| 1215426531 | Nathan Lee Haupt | Nurse Practitioner | 11709 Hamptonbrook Dr, Mckinney, TX 75071-6359 | 2018-05-02 |
| 1568992667 | Kathy Lou Drescher | Nurse Practitioner | 7777 Forest Lane, Mcch 100, Dallas, TX 77230 | 2017-06-13 |
| 1194262279 | Brandi Lea Crump | Nurse Practitioner | 8136 Mountain Cedar Dr, Fort Worth, TX 76131-3592 | 2017-01-26 |
| 1003996414 | Patricia Oakland | Nurse Practitioner | 6621 Fannin St # Wt6-006, Houston, TX 77030-2303 | 2006-10-17 |
| 1669561924 | Tammy Suzanne Robertson | Nurse Practitioner | 3605 Banks Cir, Plano, TX 75025-3849 | 2006-10-12 |
| 1912958315 | Maria S Chico | Nurse Practitioner | 1935 Medical District Dr - Mail: D10301.a, Children's Medical Center, Dallas, TX 75235-7701 | 2006-05-12 |
| 1437759842 | Kira Ann Snyder | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-10-27 |
| 1285242933 | Stephanie Lynn Spencer | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-07-20 |
| 1295357465 | Aivy Nguyen | Nurse Practitioner | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-05-11 |
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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.