EMILY REBECCA GIBBONS APNP NPI 1215014923

NPI Information

NPI: 1215014923
Provider Name: EMILY REBECCA GIBBONS, APNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1530 UNION RD STE A
GASTONIA, NC
ZIP 28054
Phone: (704) 867-6188
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Emily Rebecca Gibbons, APNP is a psychiatric/mental health nurse practitioner in Gastonia, NC. Emily Rebecca Gibbons, APNP NPI is 1215014923. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1530 UNION RD STE A
GASTONIA, NC
ZIP 28054-201
Phone: (704) 867-6188
Fax: (704) 866-4437

The NPI 1215014923 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		101062	NORTH CAROLINA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	101062	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7003930	MEDICAID	NORTH CAROLINA
2	2599313E	MEDICARE UPIN	NORTH CAROLINA
3	6005019	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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