CANDIS GIBSON (NPI# 1952819583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952819583 |
| Entity Type | Individual |
| Full Name | CANDIS GIBSON |
| Practice Address |
967 Paoli Pike West Chester PA 19380-4527 |
| Mailing Address |
77 Chambord Dr Newark DE 19702-5550 |
| Practice Telephone | 3027091919 |
| Mailing Telephone | 6464742138 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | CO301793 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224P00000X | Prosthetist | M1-0101543 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 260 Chapman Rd Ste 203b, Newark, DE 197025491 | 3024991256 |
| Street Address |
967 PAOLI PIKE |
| City | WEST CHESTER |
| State | PA |
| Zip Code | 19380-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846062 | Mikaela Lynn Mastromatto | Occupational Therapist | 1615 Boot Rd, West Chester, PA 19380 | 2020-09-17 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1457984759 | Dana Marie Buckalew | Nurse Practitioner | 915 Fern Hill Road, Building A Suite 3, West Chester, PA 19380 | 2020-02-15 |
| 1285102921 | Audrey Caulfeild Caspar-clark | Dietitian, Registered | 221 Chatham Way, West Chester, PA 19380 | 2018-11-12 |
| 1497245260 | Hshc, Inc. | Audiologist-Hearing Aid Fitter | 131 North Church Street, West Chester, PA 19380 | 2018-05-16 |
| 1164946364 | Kevin Hayes | Social Worker | 310 N Matlack St., West Chester, PA 19380 | 2017-07-29 |
| 1750804472 | Pamela Ann Najera | Psychologist | 390 E. Boot Road, West Chester, PA 19380 | 2017-07-25 |
| 1356723613 | Rynda Ross Ganster | Nurse Practitioner | 400 E. Marshall St., West Chester, PA 19380 | 2015-06-23 |
| 1164823845 | Jeffrey Diksa | Behavioral Analyst | 117 E Chestnut St., Apt 307, West Chester, PA 19380 | 2014-09-12 |
| 1134535057 | Miranda Wolff | Speech-Language Pathologist | 1507 Manchester Ct, Apt 304, West Chester, PA 19380 | 2014-07-11 |
| Find all providers in zip 19380 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142406 | Whitney Oliver | Prosthetist | 217 Kerlin St, Chester, PA 19013-3817 | 2020-10-20 |
| 1417577552 | Rosemarie Harris | Prosthetist | 8280 Pennsylvania Ave, North Huntingdon, PA 15642-2717 | 2020-04-18 |
| 1346884988 | Tenell Denise Dorsey | Prosthetist | 100 E 8th Ave, Homestead, PA 15120-1504 | 2019-11-06 |
| 1104470863 | Anntoinette Hobbs | Prosthetist | 19 Railroad Avenue, Mechanicsburg, PA 17055 | 2019-07-30 |
| 1467912683 | Danae Taylor | Prosthetist | 630 Hillsboro St, Pittsburgh, PA 15204-1710 | 2019-03-22 |
| 1497226997 | Ashley Shannon Robinson-medley | Prosthetist | 525 S 4th St Ste 248, Philadelphia, PA 19147-1573 | 2018-12-09 |
| 1851898100 | Karen Walters | Prosthetist | 2525 Monroeville Blvd Ste 4, Monroeville, PA 15146-2384 | 2018-04-11 |
| 1851821706 | Kathryn Shipley | Prosthetist | 5750 Centre Ave Ste 210, Pittsburgh, PA 15206-3761 | 2017-06-14 |
| 1235665498 | Brian Smith | Prosthetist | 370 Tampa Ave, Pittsburgh, PA 15228-2419 | 2017-05-10 |
| 1346539061 | Capri N. Burt | Prosthetist | 5962 N. 3rd Street, Philadelphia, PA 19120 | 2011-04-04 |
| Find all providers with the same taxonomy | ||||
| City | WEST CHESTER |
| Zip Code | 19380 |
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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.