Crystal Dawn Gibson
Technician, Personal Care Attendant in Man, WV. Individual provider (NPI-1).
NPI number1194396705
StatusActive
Last updated in NPPESJul 6, 2021
Details
- NPI
- 1194396705
- Entity type
- Individual (NPI-1)
- Name
- Crystal Dawn Gibson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2021
- Certification date
- Jul 6, 2021
- Last updated
- Jul 6, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
24 Anchor RdMan, WV 25635-9221
Phone 304-583-7249
Mailing address
24 Anchor RdMan, WV 25635-9221
Phone 304-583-7249
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Personal Care Attendant providers in Man, WV
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- Elizabeth Brook Hannah GibsonNPI 1639772965
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- Amberia Shea NelsonNPI 1689340325
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All 14 Personal Care Attendant providers in Man · All 80 providers in Man
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