ANDREA B GIBSON SLP
NPI 1740886514
Speech-Language Pathologist in Maynardville, TN

Q: What is Andrea Gibson's NPI number?

The NPI number for Andrea Gibson is 1740886514. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Q: What is Andrea Gibson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Gibson was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 08, 2020PECOS Enrolled

3925 MAYNARDVILLE HWY STE 1, MAYNARDVILLE, TN 37807(865) 333-4673(865) 951-7281 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Andrea B Gibson Slp NPPES

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

ANDREA B GIBSON SLP (NPI 1740886514) is an individual speech-language pathologist provider in Maynardville, Tennessee, licensed in Tennessee (7017) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740886514

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameANDREA B GIBSONCredential: SLP

Location Address3925 MAYNARDVILLE HWY STE 1Maynardville, TN 37807-3552

Mailing Address185 Yorkshire DrHarrogate, TN 37752-3738 · (865) 333-4673

Phone(865) 333-4673

Fax(865) 951-7281

Sole ProprietorNo

Enumeration DateDecember 8, 2020

NPPES CertifiedDecember 8, 2020

✔ NPI 1740886514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in TN · 7017

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

3925 MAYNARDVILLE HWY STE 1, Maynardville, TN 37807

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea B Gibson Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

MISSION HOPE PEDIATRIC THERAPY LLC

Speech-Language Pathologist