Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carol Lacy Gibson, FNP

Individual provider Family Nurse Practitioner · NPI 1477833648

Carol Lacy Gibson, FNP is a Nurse Practitioner in McLean, Virginia. Qualified in 2000, 26 years ago. Practices with Minuteclinic Diagnostic of Virginia LLC, a 141-clinician group and accepts Medicare assignment. Licensed in District of Columbia, Maryland and Virginia.

Years since qualifying
26
Licensed in
DC, MD, VA
In the registry since
2011
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1452 Chain Bridge Rd
McLean, VA 22101
Phone: (571) 239-2765
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024164967 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN62762 (DC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R154036 (MD)

Record details

NPI number1477833648
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedAugust 19, 2011
Last updated in NPPESSeptember 9, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Minuteclinic Diagnostic Of Virginia Llc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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