DR. KACEY COTOLI GIBSON (NPI# 1366640310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366640310 |
| Entity Type | Individual |
| Full Name | DR. KACEY COTOLI GIBSON |
| Credential | D.O. |
| Practice Address |
790 Veterans Way Pensacola FL 32507-1000 |
| Practice Telephone | 8509122000 |
| Mailing Telephone | 8509122000 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS 10499 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3250 Zemke Ave, Macdill Afb, FL 33621 | 8138282273 | |
| 1200 Gulf Breeze Pkwy Ste B, Gulf Breeze, FL 325614855 | 8509163680 | 8509163689 |
| Street Address |
790 VETERANS WAY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32507-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612436 | Marie S Nelson | Podiatrist | 790 Veterans Way, Pensacola, FL 32507 | 2005-07-11 |
| 1730705344 | Heather Jean Stabley | Dietitian, Registered | 790 Veterans Way, Pensacola, FL 32507-1000 | 2020-06-19 |
| 1336776889 | Margaret E Effinger | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2020-03-25 |
| 1528698990 | Morgan Amanda Tolley | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2020-01-24 |
| 1982259255 | Frances Lee Hoffman | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-08-05 |
| 1548826514 | Dale Willie Mcghee Jr. | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1477119436 | Meghan Lee | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1104482173 | Julia Marissa Thurman | Kinesiotherapist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-05-15 |
| 1093279531 | Joanna Alexandra Gabison | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2019-01-29 |
| 1760963524 | Hector Zayas | Counselor | 790 Veterans Way, Pensacola, FL 32507-1000 | 2018-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725163 | Rachel Lynn Cain | Social Worker | Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 | 2019-05-20 |
| 1710489562 | Erika Ruth Atkins | Developmental Therapist | 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 | 2018-03-07 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1851528764 | Xin Wei | Internal Medicine | 6000 West Highway 98, Apo, AP 32507 | 2009-06-18 |
| 1205033842 | Lori Lynn Douglass | Day Training, Developmentally Disabled Services | 4711 Huron Dr, Pensacola, FL 32507 | 2007-06-28 |
| 1346461985 | Jennifer Ann Sculley | Pharmacist | 13019 Sorrento Road, Pensacola, FL 32507 | 2007-05-01 |
| 1528183704 | Al M Ridlehoover | Dentist | 302 W Sunset Ave, Pensacola, FL 32507 | 2007-03-20 |
| Find all providers in zip 32507 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473588 | Marathon Health LLC | Family Medicine | 2257 N Baylen St, Pensacola, FL 32501-1703 | 2020-09-24 |
| 1063049666 | Beth Sample | Family Medicine | 418 W Brainerd St, Pensacola, FL 32501-3062 | 2020-03-24 |
| 1326688458 | Jeane M Thomas | Family Medicine | 4734 Huron Dr, Pensacola, FL 32507-8737 | 2020-01-07 |
| 1932667391 | Julie Ahrend | Family Medicine | 2603 N 16th Ave, Pensacola, FL 32503-4635 | 2019-03-05 |
| 1942765292 | Access Care Family Medicine | Family Medicine | 6705 Pine Forest Rd Ste 505, Pensacola, FL 32526-6911 | 2019-01-31 |
| 1417441742 | Alisha Watson | Family Medicine | 1549 Airport Blvd Ste 200b, Pensacola, FL 32504-8634 | 2018-06-20 |
| 1477094753 | Emily Ellen Crocetti | Family Medicine | Family Medicine Department 6000 W Us Hwy 98, Pensacola, FL 32512-1200 | 2017-03-20 |
| 1821533001 | William Belk Md LLC | Family Medicine | 3450 Oakmont Dr, Pensacola, FL 32503-6900 | 2016-12-27 |
| 1851756852 | Michelle Lynn Smith | Family Medicine | 3700 Creighton Rd, Suite 4, Pensacola, FL 32504-4680 | 2015-12-18 |
| 1659777985 | Dolores Anne Holtmann | Family Medicine | 9400 University Pkwy Ste 409, Pensacola, FL 32514-5485 | 2014-11-13 |
| Find all providers in PENSACOLA | ||||
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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.