LARRY RYAN GIBSON (NPI# 1518326743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518326743 |
| Entity Type | Individual |
| Full Name | LARRY RYAN GIBSON |
| Credential | NURSE PRACTITIONER |
| Practice Address |
509 N Elam Ave 2nd Fl Greensboro NC 27403-1118 |
| Practice Telephone | 3362741114 |
| Practice Fax Number | 3362325325 |
| Mailing Telephone | 3362741114 |
| Mailing Fax Number | 3362325325 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
232904 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | TAX IDENTIFICATION | 562140200 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952815748 | Larry Hiriam Gibson Jr. | Home Health | 12925 Northwest Fwy, Houston, TX 77040-6303 | 2017-12-01 |
| 1942590989 | Larry Marlin Gibson | Physical Therapy Assistant | 1625 Hill St, Anderson, IN 46012-2425 | 2011-04-11 |
| 1538278734 | Larry Franklin Gibson | Family Medicine | 202 Sylvarena Ave., Raleigh, MS 39153 | 2006-08-30 |
| 1093830549 | Larry Elisha Gibson | Chiropractor | 3333 Northside Dr, Suite G, Macon, GA 31210-2588 | 2007-03-20 |
| 1114013521 | Larry Gibson | Psychiatry & Neurology | 2051 Hamill Rd, Ste 301 B, Hixson, TN 37343-6614 | 2006-10-04 |
| Street Address |
509 N ELAM AVE 2ND FL |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508836297 | Angela Draughon Rickelton | Registered Nurse | 509 N Elam Ave, Greensboro, NC 27403-1118 | 2006-01-25 |
| 1134736135 | Jennaya Lynn Davis | Nurse Practitioner | 509 N Elam Ave, Greensboro, NC 27403-1129 | 2020-09-24 |
| 1215340872 | Lachina Moore Hollis | Nurse Practitioner | 509 N Elam Ave, Suite 3e, Greensboro, NC 27403-1129 | 2014-06-10 |
| 1437468873 | Rachel Catherine Payne Jones | Nurse Anesthetist, Certified Registered | 509 N Elam Ave, Greensboro, NC 27403-1129 | 2010-10-04 |
| 1467627836 | Diane S Warden | Nurse Practitioner | 509 N Elam Ave, Fl 2, Greensboro, NC 27403-1129 | 2008-04-28 |
| 1306919592 | Valerie P Wilkerson | Registered Nurse | 509 N Elam Ave, Greensboro, NC 27403-1118 | 2006-11-16 |
| 1427121623 | Christopher John Wilson | Registered Nurse | 509 N Elam Ave, Greensboro, NC 27403-1118 | 2006-11-16 |
| 1073527065 | The Day Surgery Center of Greensboro, LLC | Clinic/Center | 509 N Elam Ave, Greensboro, NC 27403-1118 | 2006-07-28 |
| 1346204088 | Alliance Urology Specialists Pa | Urology | 509 N Elam Ave, Fl 2, Greensboro, NC 27403-1157 | 2006-04-12 |
| 1396719530 | Holly Hood Black | Nurse Practitioner | 509 N Elam Ave, 2nd Floor, Greensboro, NC 27403-1118 | 2006-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1184190621 | Nancy Evelyn Davis | Nurse Practitioner | 4301 Plantation Ridge Ln, Greensboro, NC 27409-9236 | 2018-10-23 |
| 1063990869 | Ashley Creed Corbett | Nurse Practitioner | 1511 Westover Ter Ste 103, Greensboro, NC 27408-7122 | 2018-08-02 |
| 1013328020 | Katy Demanigold Danford | Nurse Practitioner | 4620 Woody Mill Rd Ste G, Greensboro, NC 27406-8779 | 2014-05-13 |
| 1063656346 | Christina Lloyd Wert | Nurse Practitioner | 1309 N. Elm Street, Greensboro, NC 27401 | 2009-04-30 |
| 1467693846 | Monica Susana Lyall | Nurse Practitioner | 1593 Yanceyville St Ste 200, Greensboro, NC 27405-6950 | 2009-03-16 |
| 1164572079 | Tonya Renee Walker | Nurse Practitioner | 107 Gray Drive, Greensboro, NC 27402-6170 | 2007-01-11 |
| 1710056817 | Mary Ann Placey | Nurse Practitioner | 1471 E Cone Blvd, Greensboro, NC 27405-4533 | 2006-11-06 |
| 1881695005 | Carol Jean Reed | Nurse Practitioner | Gray Dr, Greensboro, NC 27402 | 2005-08-10 |
| 1134736135 | Jennaya Lynn Davis | Nurse Practitioner | 509 N Elam Ave, Greensboro, NC 27403-1129 | 2020-09-24 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
Please comment or provide details below to improve the information on LARRY RYAN 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.