DEBRA JEAN GIBSON (NPI# 1922592997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922592997 |
Entity Type | Individual |
Full Name | DEBRA JEAN GIBSON |
Credential | LSUDC |
Practice Address |
5689 S Redwood Rd Unit 30 Slc UT 84123-5499 |
Practice Telephone | 8012681715 |
Mailing Telephone | 8012681715 |
Enumeration Date | 2018-06-21 |
Last Update Date | 2018-06-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6926577-6006 | UT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861799694 | Debra N Gibson | Counselor | 2810 Morris Ave Ste 209, Union, NJ 07083-4841 | 2011-02-14 |
1477630945 | Debra Gibson | Counselor | 502 Bank St Ne, Suite D, Decatur, AL 35601-1606 | 2006-11-01 |
1588636260 | Debra M. Gibson | Podiatrist | 1770 N Alston St, Foley, AL 36535-2274 | 2006-02-06 |
1205817301 | Debra Lynn Gibson | Nurse Practitioner | 119 River Dr, Pikeville, KY 41501-1685 | 2005-11-07 |
1255866554 | Debra Gibson | Registered Nurse | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2017-04-24 |
1962694711 | Debra Gibson | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2007-08-15 |
1326262247 | Debra A. Gibson | Naturopath | 158 Danbury Rd, Suite 8, Ridgefield, CT 06877-3227 | 2007-04-12 |
1518042928 | Debra Luanne Gibson | Psychiatry & Neurology | 3000 Falstaff Rd, Raleigh, NC 27610-1813 | 2006-10-25 |
1740225606 | Debra Elaine Gibson | Counselor | 1500 N 6th St, Ponca City, OK 74601-2827 | 2006-06-17 |
Street Address |
5689 S REDWOOD RD UNIT 30 |
City | SLC |
State | UT |
Zip Code | 84123-5499 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740774710 | Richard E Tanski | Counselor | 5689 S Redwood Rd Unit 30, Slc, UT 84123-5499 | 2018-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
Find all providers in zip 84123 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649599051 | Arvel James Brinkerhoff | Counselor | 68 S. 600 E., Slc, UT 84102 | 2010-05-25 |
1780805978 | Andrea Amelia Borrego | Counselor | 344 E 100 S, Slc, UT 84111 | 2007-05-02 |
1891339495 | Olga Quinonez Eames | Counselor | 344 E 100 S, Slc, UT 84111-1700 | 2019-11-06 |
1740774710 | Richard E Tanski | Counselor | 5689 S Redwood Rd Unit 30, Slc, UT 84123-5499 | 2018-06-21 |
1437675071 | Marissa Miller | Counselor | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2017-08-16 |
1922541010 | Matthew Easthope | Counselor | 344 E 100 S, Ste 301, Slc, UT 84111-1700 | 2016-11-22 |
1245605336 | Edward John Kovacs IIi | Counselor | 344 E 100 S Ste 301, Slc, UT 84111-1727 | 2015-12-01 |
1881068146 | Andrea Joyce Azoff | Counselor | 344 E 100 S, Suite 301, Slc, UT 84111-1700 | 2015-11-23 |
1467823229 | Steven Hatch | Counselor | 344 E 100 S, Ste 301, Slc, UT 84111-1700 | 2015-10-19 |
1104294156 | Lauren Greco | Counselor | 857 E 200 S, Slc, UT 84102-2317 | 2015-09-08 |
Find all providers in SLC |
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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.