MRS. LILLIE GIBSON (NPI# 1609321025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609321025 |
| Entity Type | Individual |
| Full Name | MRS. LILLIE GIBSON |
| Credential | RN |
| Practice Address |
250 Pender Dr Grenada MS 38901-9312 |
| Practice Telephone | 6622268900 |
| Practice Fax Number | 6622265767 |
| Mailing Telephone | 6622268900 |
| Mailing Fax Number | 6622265767 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
R704695 | AR | Nursing Service Providers |
| Street Address |
250 PENDER DR |
| City | GRENADA |
| State | MS |
| Zip Code | 38901-9312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881803682 | Grenada School District | Registered Nurse | 250 Pender Dr, Grenada, MS 38901-9312 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435118 | The Mane Physician | Prosthetic/Orthotic Supplier | 94 Spain Drive, Grenada, MS 38901 | 2020-04-08 |
| 1942842166 | Sylvia C Bass | Technician | 813 Union Street, Grenada, MS 38901 | 2019-10-09 |
| 1669971180 | Jenny Taylor | Nurse Practitioner | 350 Sunset Drive, Grenada, MS 38901 | 2018-02-10 |
| 1073912762 | John Thomas Mcree I | Counselor | 2026 Commerce St Ste 8e, Grenada, MS 38901 | 2014-08-19 |
| 1700213634 | State of Mississippi-university of Mississippi Medical Center | Home Health | 960 Avent Drive, Grenada, MS 38901 | 2013-10-10 |
| 1114359866 | Cmhp Enterprises | Dentist | 1420 Wooded Drive, Grenada, MS 38901 | 2013-08-05 |
| 1518256460 | Mercy Hospice LLC | Hospice Care, Community Based | 1410 Wooded Drive, Grenada, MS 38901 | 2011-03-31 |
| 1215256318 | Della Lea Welsh | Speech-Language Pathologist | 1321 Dd Sunset Dr., Grenada, MS 38901 | 2010-05-28 |
| 1750514543 | Family Health Care Clinic, Inc. | Clinic/Center | 1102 Telegraph St, Grenada, MS 38901 | 2009-08-27 |
| 1033384771 | Jason K Bennett | Pharmacist | 140 Shadow Wood Cv, Grenada, MS 38901 | 2008-04-24 |
| Find all providers in zip 38901 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881803682 | Grenada School District | Registered Nurse | 250 Pender Dr, Grenada, MS 38901-9312 | 2007-05-21 |
| 1205041134 | Grenada School District | Registered Nurse | 500 Pender Dr, Grenada, MS 38901-9294 | 2007-05-14 |
| 1568763373 | Grenada School District | Registered Nurse | 28 Jones Rd, Grenada, MS 38901-5248 | 2010-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083118723 | Pontotoc City School | Registered Nurse | 140 Education Dr, Pontotoc, MS 38863-2107 | 2018-03-19 |
| 1801266002 | Starkville Oktibbeha Consolidated School District | Registered Nurse | 2926 Sixteenth Section Rd, Starkville, MS 39759-4700 | 2015-09-30 |
| 1467859264 | Lamar County School District | Registered Nurse | 1201 Bilbo Rd, Lumberton, MS 39455-8670 | 2014-11-24 |
| 1821495623 | Lamar County School District | Registered Nurse | 5279 W 4th St, Hattiesburg, MS 39402-9700 | 2014-11-24 |
| 1730586538 | Lamar County School District | Registered Nurse | 5976 Us Highway 11, Purvis, MS 39475-5066 | 2014-11-24 |
| 1750646576 | Dorothy Grady-scarbrough | Registered Nurse | 700 Robert D. Gray Ave, Shelby, MS 38774-0028 | 2012-07-09 |
| 1700167194 | Starkville Public Schools | Registered Nurse | 303 Mckee Street, Armstrong Middle School, Starkville, MS 39759-3132 | 2011-08-30 |
| 1871873729 | Starkville Oktibbeha Consolidated School District | Registered Nurse | 603 Yellowjacket Drive, Starkville High School, Starkville, MS 39759 | 2011-08-24 |
| 1013239169 | Starkville School District | Registered Nurse | 200a Dr Martin Luther King Jr Dr W, Starkville, MS 39759-2890 | 2010-02-17 |
| 1952631699 | Cleveland School District | Registered Nurse | 305 Merritt Dr, Cleveland, MS 38732-2247 | 2009-12-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. LILLIE 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.