KIMBERLY GIBSON (NPI# 1821342700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821342700 |
| Entity Type | Individual |
| Full Name | KIMBERLY GIBSON |
| Credential | PHARMD |
| Practice Address |
1300 W University Ave Ste 200 Flagstaff AZ 86001-7228 |
| Mailing Address |
10260 Aurora Rd Flagstaff AZ 86004-1178 |
| Practice Telephone | 9282261056 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
S014832 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538786603 | Kimberly Gibson | Lactation Consultant, Non-RN | 159-20 Harlem River Dr Apt 6b, New York, NY 10039-1204 | 2020-07-06 |
| 1912552324 | Kimberly Lynn Gibson | Nurse's Aide | 11710 Hanover Rd, Cincinnati, OH 45240-1954 | 2019-08-03 |
| 1053895300 | Kimberly Gibson | Specialist/Technologist | 1412 Mockingbird Ln Apt J202, Midland, TX 79705-2065 | 2018-09-22 |
| 1548325012 | Kimberly Gibson | Counselor | 4588 N Rancho Dr, Suite 12, Las Vegas, NV 89130-3426 | 2006-12-26 |
| 1932768827 | Kimberly J Gibson | Occupational Therapy Assistant | 889 N Aurora Rd, Aurora, OH 44202-9537 | 2019-06-13 |
| 1841644663 | Kimberly Marie Gibson | Counselor | 4281 Katella Ave, Suite 201, Los Alamitos, CA 90720-3500 | 2016-04-18 |
| 1316302383 | Kimberly Ann Gibson | Counselor | 8170 Beverly Blvd, Los Angeles, CA 90048-4524 | 2015-12-17 |
| 1417328329 | Kimberly Gibson | Registered Nurse | University Drive C, Cardiology Dept., Pittsburgh, PA 15240 | 2015-10-19 |
| 1275927964 | Kimberly Gibson | Registered Nurse | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2015-03-20 |
| 1588969463 | Kimberly Brooke Gibson | Nurse Practitioner | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2011-01-24 |
| Street Address |
1300 W UNIVERSITY AVE STE 200 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-7228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235385998 | Chadwick Mellen | Pharmacist | 1300 W University Ave Ste 200, Flagstaff, AZ 86001-7228 | 2008-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356681936 | Marilyn Ritchey | Pharmacist | 3100 S Walkup Dr, Flagstaff, AZ 86005-8978 | 2013-02-19 |
| 1336117134 | Mary Louisa Brubaker | Pharmacist | 2920 N 4th St, Flagstaff, AZ 86004-1816 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425000 | David M Hoehn | Pharmacist | 3413 W Donatello Dr, Phoenix, AZ 85086-2290 | 2020-07-24 |
| 1558901793 | Crystal Kaurin | Pharmacist | 21503 N 71st Dr, Glendale, AZ 85308-9546 | 2020-01-15 |
| 1912416975 | Jenna Pakala | Pharmacist | 6250 E Grant Rd Apt 388, Tucson, AZ 85712-5811 | 2017-09-21 |
| 1972998771 | Jordan Cottam | Pharmacist | 1515 W Aloe Vera Dr, Phoenix, AZ 85085-9032 | 2015-03-30 |
| 1528470606 | Govindarajulu Krishnaswamy | Pharmacist | 1845 E. Baseline Road, Gilbert, AZ 85234 | 2014-05-23 |
| 1821422395 | Donna Marie Faber | Pharmacist | 650 E Indian School Rd # 119, Phoenix, AZ 85012-1839 | 2013-09-02 |
| 1629416938 | Larry D Sanders | Pharmacist | 3076 Tom Tom Dr, Lake Havasu City, AZ 86406-8630 | 2013-06-08 |
| 1922346808 | Lindsay Sampson | Pharmacist | 1 Mile North On Navajo Rt 16, Inscription House Health Center, Shonto, AZ 86054-7397 | 2013-01-28 |
| 1710223979 | Long Thien Pham | Pharmacist | Hwy 191 Hospital Turnoff, Chinle, AZ 86503 | 2012-12-17 |
| 1679826325 | Anastasia Shields | Pharmacist | 2141-1 Dine Drive, Fort Defiance, AZ 86504-0097 | 2012-10-18 |
| Find all providers with the same taxonomy | ||||
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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.