SHANISE GIBSON RN
NPI 1093643223
Registered Nurse - Administrator in Rock Hill, SC

Active since May 09, 2026
1565 EBENEZER RD STE 111, ROCK HILL, SC 29732(803) 376-3474 Get Directions Write a Review

NPPES record last updated: May 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanise Gibson Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANISE GIBSON RN (NPI 1093643223) is an individual administrator provider in Rock Hill, South Carolina, licensed in South Carolina (273853) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1093643223
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameSHANISE GIBSONCredential: RN
Location Address1565 EBENEZER RD STE 111Rock Hill, SC 29732-2494
Mailing Address436 Dutch White DrClover, SC 29710-6926
Sole ProprietorYes
Enumeration DateMay 9, 2026
NPPES CertifiedMay 9, 2026
NPI 1093643223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License Licensed in SC · 273853
1565 EBENEZER RD STE 111, Rock Hill, SC 29732

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician (Personal Care Attendant)
1565 EBENEZER RD STE 111
ROCK HILL, SC 29732
In Home Supportive Care
1565 EBENEZER RD STE 111
ROCK HILL, SC 29732

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanise Gibson's NPI number?

The NPI number for Shanise Gibson is 1093643223. It was assigned to this individual provider in the NPPES registry on May 9, 2026.

Where is Shanise Gibson located?

Shanise Gibson practices at 1565 Ebenezer Rd Ste 111, Rock Hill, SC 29732. The listed phone number is (803) 376-3474.

What is Shanise Gibson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Shanise Gibson was last updated on May 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.