MRS. SHARICKA LEE GIBSON (NPI# 1205355955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205355955 |
| Entity Type | Individual |
| Full Name | MRS. SHARICKA LEE GIBSON |
| Credential | MBA, BSRT (R) |
| Practice Address |
782 Garrison Dr Nashville TN 37207-3527 |
| Practice Telephone | 6158065917 |
| Mailing Telephone | 6158065917 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
438191 | TN | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGY | 438191 | 01 |
| Street Address |
782 GARRISON DR |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37207-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770993982 | Shanika Ostine | Non-emergency Medical Transport (VAN) | 4200 Polk Forest Circle, Nashville, TN 37207 | 2014-04-28 |
| 1285052456 | Roman Weber | Occupational Therapist | 103 Arcaro Place, Brentwood, TN 37207 | 2014-04-03 |
| 1255609475 | Thomas' Supports, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 129 Mccarthy Park Lane, Nashville, TN 37207 | 2011-12-02 |
| 1770868895 | Focus Medical Clinic, Pllc | Social Worker | 213w Maplewood Lane, Suite 400, Nashville, TN 37207 | 2011-10-20 |
| 1346535895 | Jazzee Adult Day Services | Home Health | 715 Joseph Ave, Nashville, TN 37207 | 2011-06-13 |
| 1740588938 | Adme | Durable Medical Equipment & Medical Supplies | 3443 Dickerson Pike, Skyline Medical Plaza Suit G-20, Adme, Nashville, TN 37207 | 2011-03-11 |
| 1942508924 | Shameka Dowell | In Home Supportive Care | 2422 Grover Street, Nashville, TN 37207 | 2011-03-01 |
| 1780996546 | Lindsey Marie Blalock | Nurse Practitioner | 3005 Ambrose Ave, Nashville, TN 37207 | 2010-07-09 |
| 1518293737 | Questcare Group Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 721 Roman Dr., Nashville, TN 37207 | 2009-10-22 |
| 1134330913 | Chariot Transportation, Inc. | Non-emergency Medical Transport (VAN) | 1302 Baptist World Center Dr., Nashville, TN 37207 | 2007-05-24 |
| Find all providers in zip 37207 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114167400 | Jason Aultman | Radiologic Technologist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2009-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205075421 | Kelly Lane Dennis | Radiologic Technologist | 2425 Chester Harris Rd, Woodlawn, TN 37191-9054 | 2009-02-11 |
| 1255584025 | Thomas Wade Carrington | Radiologic Technologist | 305 W Court St, Dyersburg, TN 38024-4644 | 2008-10-24 |
| 1578081899 | Lea Ann Fish | Radiologic Technologist | 2018 Western Ave, Knoxville, TN 37921-5718 | 2017-09-07 |
| 1477979995 | Nichol Ooten | Radiologic Technologist | 140 Dameron Ave, Knoxville, TN 37917-6413 | 2014-03-07 |
| 1083814263 | James Robert Ewing | Radiologic Technologist | 308 S Church St, Rogersville, TN 37857-3324 | 2007-07-25 |
| 1376684407 | Carlos Spragling | Radiologic Technologist | 4299 Elvis Presley Blvd, Memphis, TN 38116-6435 | 2007-02-10 |
| 1619065570 | Philip M Monks | Radiologic Technologist | 108 Medical Center Blvd, Fayetteville, TN 37334-2741 | 2006-10-10 |
Please comment or provide details below to improve the information on MRS. SHARICKA LEE GIBSON.
| 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.