MS. LAWANDA D GIBSON PRACTICAL NURSE
NPI 1558990432
Licensed Practical Nurse in Southfield, MI

NPI Status: Active since April 03, 2020

Contact Information

21415 CIVIC CENTER DR STE 302
SOUTHFIELD, MI
ZIP 48076
Phone: (484) 202-7023

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  • Individual
  • Female
  • Licensed Practical Nurse

About LAWANDA GIBSON

This page provides the complete NPI Profile along with additional information for Lawanda Gibson, a provider established in Southfield, Michigan with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1558990432 assigned on April 2020. The practitioner's primary taxonomy code is 164W00000X with license number 4703119637 (MI). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1558990432
Provider Name
MS. LAWANDA D GIBSON PRACTICAL NURSE
Other Name
MS. LAWANDA DASHAWN GIBSON LPN
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
21415 CIVIC CENTER DR STE 302 SOUTHFIELD, MI 48076
Location Phone
(484) 202-7023
Mailing Address
19240 GAINSBOROUGH RD DETROIT, MI 48223
Mailing Phone
(313) 564-9996
Is Sole Proprietor?
Yes
Enumeration Date
04-03-2020
Last Update Date
04-03-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
4703119637
License State
MI
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1164W00000XNursing Service Providers

Licensed Practical Nurse

166730 (OH)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G125488135293OTHER (01)MIMI STATE DRIVERS LICENSE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558990432
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25108189046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 1 + 8 + 9 + 0 + 4 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1558990432 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558990432, enumerated in the NPI registry as an "individual" on April 03, 2020

The provider is located at 21415 Civic Center Dr Ste 302 Southfield, Mi 48076 and the phone number is (484) 202-7023

The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 03, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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