RADA GIBSON NPI 1508397910

NPI Information

NPI: 1508397910
Provider Name: RADA GIBSON
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: ST ANTHONYS PHYSICIAN ORGANIZATION HOSPITALIST SERVICES LC

PECOS Registration: Yes

Address:
10018 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 525-7275
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Rada Gibson is a psychiatric/mental health nurse practitioner in Saint Louis, MO with 5 years of experience. Rada Gibson NPI is 1508397910. 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:

10018 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128-106
Phone: (314) 525-7275

The NPI 1508397910 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 3/27/2017 and was last updated on 12/13/2019.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2014007149	MISSOURI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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