SUSAN GIBSON (NPI# 1558804278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558804278 |
| Entity Type | Individual |
| Full Name | SUSAN GIBSON |
| Credential | LMT |
| Practice Address |
5143 Se Blue Heron Ln Stuart FL 34997-3314 |
| Mailing Address |
611 Sw Federal Hwy Stuart FL 34994-2925 |
| Practice Telephone | 7725300093 |
| Mailing Telephone | 7725300093 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 20318 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821413550 | Susan Gibson | Counselor | 1210 S Hadden Ave, El Reno, OK 73036-5445 | 2014-03-04 |
| 1386965325 | Susan Mary Gibson | Nurse Practitioner | 222 E Canon Perdido St, Santa Barbara, CA 93101-2283 | 2010-06-14 |
| 1366576340 | Susan Elaine Gibson | Registered Nurse | 34 N. Phila. Blvd., Aberdeen, MD 21001 | 2007-03-14 |
| 1528585205 | Susan Yvette Gibson | Social Worker | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2017-08-24 |
| 1407244841 | Susan D Gibson | Registered Nurse | 1909 Hampshire Pike, Columbia, TN 38401-5650 | 2015-01-08 |
| 1881082741 | Susan Marie Gibson | Occupational Therapist | 563 W Streetsboro St, Hudson, OH 44236-2050 | 2014-12-30 |
| 1164837811 | Susan G. Gibson | Nurse Practitioner | 310 Fisk St, Pittsburgh, PA 15201-1708 | 2014-06-20 |
| 1659545507 | Susan H Gibson | Physical Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2008-04-22 |
| 1902958887 | Susan Ballou Gibson | Dentist | 110 Hardin Ln, Suite 2, Somerset, KY 42503-3818 | 2007-01-18 |
| 1720194087 | Susan M Gibson | Family Medicine | 3840 Gault Ave N, Fort Payne, AL 35967-5211 | 2006-08-21 |
| Street Address |
5143 SE BLUE HERON LN |
| City | STUART |
| State | FL |
| Zip Code | 34997-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720694052 | Michael A. Strauss | Massage Therapist | 2216 Nw 22nd Ave Apt 114, Stuart, FL 34994-9274 | 2020-09-22 |
| 1053926543 | Angela Ahmadi | Massage Therapist | 3073 Se Bamboo St, Stuart, FL 34997-7832 | 2020-09-10 |
| 1164036356 | Marjorie Collins | Massage Therapist | 5981 Se Windsong Ln, Stuart, FL 34997-8262 | 2020-09-04 |
| 1043729627 | Jodi Morris Jaroschak | Massage Therapist | 7301 Sw Gaines Ave, Stuart, FL 34997-7332 | 2017-09-26 |
| 1497159339 | Jill Jeglum | Massage Therapist | 3804 Se Jefferson St, Stuart, FL 34997-5435 | 2014-10-21 |
| 1700217312 | Amanda Vanderheyden | Massage Therapist | 206 Sw Atlanta Ave, Stuart, FL 34994-2034 | 2013-12-06 |
| 1487905832 | Robert Albert Murray | Massage Therapist | 684 Se Monterey Rd, Stuart, FL 34994-4410 | 2012-09-25 |
| 1558641480 | Laura Mejia | Massage Therapist | 613 Se Central Pkwy, Stuart, FL 34994-3984 | 2011-08-23 |
| 1730468075 | Lenore F Baker | Massage Therapist | 851 Se Johnson Ave, Suite 210, Stuart, FL 34994-3000 | 2011-08-04 |
| 1538468103 | Chelsea Rasmussen | Massage Therapist | 422 Sw Akron Ave, Stuart, FL 34994-2949 | 2011-03-22 |
| Find all providers in STUART | ||||
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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.