KIRK GIBSON (NPI# 1689197519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689197519 |
| Entity Type | Individual |
| Full Name | KIRK GIBSON |
| Credential | MSN, RN, PCCN |
| Practice Address |
919 Willow Dr Shreveport LA 71118-4023 |
| Practice Telephone | (318) 840-4843 |
| Mailing Telephone | 3188404843 |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2017-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN136488 | LA | Nursing Service Providers |
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN136488 | LA | Nursing Service Providers |
| Street Address |
919 WILLOW DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265540306 | Ann V. Leitz | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053848655 | Rosary Ann Chetta | Registered Nurse | 200 W Esplanade Ave Ste 703a, Kenner, LA 70065-2489 | 2017-05-15 |
| 1073518189 | Leslie S Arceneaux | Registered Nurse | 1416 Gobbler Head Dr, Bogalusa, LA 70427-6091 | 2005-06-15 |
| 1790264885 | Zina Milligan Green | Registered Nurse | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2018-08-09 |
| 1720567845 | Norma Marie Simpson | Registered Nurse | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2018-08-09 |
| 1962980060 | Suzanne H Howard | Registered Nurse | 712 Westbank Expy, Westwego, LA 70094-4400 | 2018-07-31 |
| 1720508534 | Terry Blais Compton | Registered Nurse | 1202 S Tyler St, Covington, LA 70433-2330 | 2017-06-22 |
| 1811426083 | Kari M Rodas | Registered Nurse | 2700 Napoleon Ave, Napoleon Medical Plaza Suite 890, New Orleans, LA 70115 | 2017-06-09 |
| 1609303395 | Peggy Jane Malone | Registered Nurse | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2017-05-12 |
| 1457510778 | Judy H. Fields | Registered Nurse | 7373 Perkins Rd, Baton Rouge, LA 70808-4326 | 2008-06-02 |
| 1609059864 | Rebecca J. Abel | Registered Nurse | 420 W Pinhook Rd, Suite A, Lafayette, LA 70503-2131 | 2007-12-11 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
Please comment or provide details below to improve the information on KIRK 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.