MARY ALYSSA GIBSON DO
NPI 1710674536
Student in an Organized Health Care Education/Training Program in Hartford, CT
About Mary Alyssa Gibson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ALYSSA GIBSON DO (NPI 1710674536) is an individual student in an organized health care education/training program in Hartford, Connecticut and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Alyssa Gibson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARTFORD, CT 06105
HARTFORD, CT 06105
HARTFORD, CT 06105
HARTFORD, CT 06105
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 Mary Gibson's NPI number?
The NPI number for Mary Gibson is 1710674536. It was assigned to this individual provider in the NPPES registry on April 21, 2023.
Where is Mary Gibson located?
Mary Gibson practices at 99 Woodland St, Hartford, CT 06105. The listed phone number is (860) 714-4212.
What is Mary Gibson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Mary Gibson enrolled in Medicare?
Yes. Mary Gibson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Gibson was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mary Alyssa Gibson, DO · NPI 1710674536
Student in an Organized Health Care Education/Training Program provider in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since April 21, 2023.
## Identity
- **NPI:** 1710674536 (Entity type: Individual)
- **Enumerated:** April 21, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 99 WOODLAND ST, Hartford, CT 06105-1207
- **Phone:** (860) 714-4212
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1710674536) · Data from the CMS NPPES public registry.