NICOLE GIBBONS (NPI# 1730580242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730580242 |
| Entity Type | Individual |
| Full Name | NICOLE GIBBONS |
| Credential | PA-C |
| Practice Address |
5420 Webb Rd Suite B-1 Tampa FL 33615-3250 |
| Practice Telephone | 8138860548 |
| Practice Fax Number | 8138860890 |
| Mailing Telephone | 8138860548 |
| Mailing Fax Number | 8138860890 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9107929 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332989 | Nicole Judith Gibbons | Nurse Practitioner | 36 White Street, Cambridge, MA 02140 | 2020-10-06 |
| Street Address |
5420 WEBB RD SUITE B-1 |
| City | TAMPA |
| State | FL |
| Zip Code | 33615-3250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770579567 | Tarik K Hasan | Specialist | 5420 Webb Rd, Tampa, FL 33615-3250 | 2005-09-27 |
| 1528315777 | Frank J. Sierra Dmd Pa | Dentist | 5420 Webb Rd, C-2, Tampa, FL 33615-3250 | 2012-08-07 |
| 1396013165 | Chris John Butchart | Dentist | 5420 Webb Rd, D1, Tampa, FL 33615-3250 | 2011-12-08 |
| 1891084240 | Internal Medicine of Tampa Inc | Internal Medicine | 5420 Webb Rd, Suite B-1, Tampa, FL 33615-3250 | 2011-04-06 |
| 1366742041 | Margaret Theodore, M.d., P.a. | Clinic/Center | 5420 Webb Rd, Suite B-1, Tampa, FL 33615-3250 | 2010-10-27 |
| 1598985988 | Gerald L. Spoto, D.d.s., P.a. | Dentist | 5420 Webb Rd, Suite A-2, Tampa, FL 33615-3250 | 2007-04-26 |
| 1396869525 | Gerald L Spoto | Dentist | 5420 Webb Rd, Ste A-2, Tampa, FL 33615-3250 | 2007-03-16 |
| 1215040373 | Frank J Sierra | Dentist | 5420 Webb Rd, C2, Tampa, FL 33615-3250 | 2006-08-15 |
| 1265445035 | Chris J. Butchart Dds Pa | Dentist | 5420 Webb Rd, Ste D-1, Tampa, FL 33615-3250 | 2006-08-14 |
| 1518974278 | Allen F Garber | Dentist | 5420 Webb Rd, A1, Tampa, FL 33615 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
| 1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
| 1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
| 1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
| 1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
| 1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
| Find all providers in zip 33615 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762046 | Samantha Martin | Physician Assistant | 12950 Race Track Rd Ste 106, Tampa, FL 33626-1304 | 2020-05-28 |
| 1124648159 | Christian Otero | Physician Assistant | 311 W Palm Ave, Tampa, FL 33602-2029 | 2020-04-20 |
| 1487219036 | Vanessa Natasha White | Physician Assistant | 10205 W Hillsborough Ave Ste B, Tampa, FL 33615-3671 | 2019-05-08 |
| 1518520873 | Zachary Luke Ulshafer | Physician Assistant | 12901 Bruce B Downs Blvd # 05, Tampa, FL 33612-4742 | 2019-04-22 |
| 1548756893 | Christopher Jacob Bordelon | Physician Assistant | 2550 W Dr Martin Luther King Jr Blvd Ste B, Tampa, FL 33607-6302 | 2018-07-10 |
| 1871033340 | Amanda Lins Chissell | Physician Assistant | 13801 Bruce B Downs Blvd Ste 231, Tampa, FL 33613-3946 | 2017-03-03 |
| 1669839767 | Barbara N Vargas | Physician Assistant | 12500 N Dale Mabry Hwy Ste A, Tampa, FL 33618-2809 | 2016-01-20 |
| 1215305776 | Amber Lubas | Physician Assistant | 401 N Rome Ave, Apt: 4314, Tampa, FL 33606-0009 | 2015-09-14 |
| 1972988467 | Karla Michelle Mincone | Physician Assistant | 3040 W Cypress St # 103, Tampa, FL 33609-1615 | 2015-07-25 |
| 1326441767 | Brigett Brandjes | Physician Assistant | 2902 Usf Magnolia Drive, Tampa, FL 33612 | 2014-09-30 |
| Find all providers in TAMPA | ||||
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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.