SHANA M GIBBONS (NPI# 1376106203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376106203 |
| Entity Type | Individual |
| Full Name | SHANA M GIBBONS |
| Credential | RN |
| Practice Address |
1209 W Tokay St Lodi CA 95240-3845 |
| Mailing Address |
8645 Nemea Way Elk Grove CA 95624-3445 |
| Practice Telephone | 2093312070 |
| Mailing Telephone | 6234552112 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN95178653 | CA | Nursing Service Providers |
| Street Address |
1209 W TOKAY ST |
| City | LODI |
| State | CA |
| Zip Code | 95240-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801919519 | Vernice Sally Mohr | Licensed Psychiatric Technician | 1209 W Tokay St, Suite 5, Lodi, CA 95240-3845 | 2007-04-09 |
| 1902305972 | Celeste Rose Martinez | Licensed Psychiatric Technician | 1209 W Tokay St, Lodi, CA 95240-3845 | 2018-02-06 |
| 1083821367 | San Joaquin County Behavioral Health Services | Clinic/Center | 1209 W Tokay St, Lodi, CA 95240-3845 | 2007-05-17 |
| 1992917843 | Marisa M Godi | Speech-Language Pathologist | 1209 W Tokay St, Suite 8, Lodi, CA 95240-3845 | 2007-05-04 |
| 1831311133 | Sara Rouse | Speech-Language Pathologist | 1209 W Tokay St, Ste 8, Lodi, CA 95240-3845 | 2007-05-03 |
| 1083826036 | Colleen Adair Selling | Speech-Language Pathologist | 1209 W Tokay St, Ste.8, Lodi, CA 95240-3845 | 2007-05-03 |
| 1144432360 | Sara Marie Peterson | Speech-Language Pathologist | 1209 W Tokay St, Suite 8, Lodi, CA 95240-3845 | 2007-05-03 |
| 1518182534 | Judith Ann Dolyniuk | Counselor | 1209 W Tokay St, Suite 5, Lodi, CA 95240 | 2007-04-16 |
| 1972726131 | Victoria Yvonne Sibayan | Marriage & Family Therapist | 1209 W Tokay St, Suite 5, Lodi, CA 95240-3845 | 2007-04-10 |
| 1952524894 | Treva Sue Strain | Social Worker | 1209 W Tokay St, Suite 3, Lodi, CA 95240-3845 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
| 1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
| Find all providers in zip 95240 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053721613 | Nathaniel Rabang Rafanan | Registered Nurse | 1912 Lakeshore Dr, Lodi, CA 95242-4232 | 2014-05-05 |
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|---|---|---|---|---|
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| 1760091201 | Amara Michella Altman | Registered Nurse | 1796 Camino Verde Apt C, Walnut Creek, CA 94597-2291 | 2020-07-30 |
| 1609484476 | Loretta Lynn Ballard | Registered Nurse | 11514 Poema Pl Unit 102, Chatsworth, CA 91311-1114 | 2020-07-17 |
| 1174141550 | Aline Marie Bales | Registered Nurse | 1669 Marina Way, Brentwood, CA 94513-5133 | 2020-07-11 |
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
| 1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
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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.