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

Ethnee Nevaeh Gibson

Individual provider Peer Specialist · NPI 1205625373

Ethnee Nevaeh Gibson is a Peer Specialist in Rio Rancho, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2025
Specialties on file
2

Practice location Address checks out

4100 Barbara Loop SE
Rio Rancho, NM 87124-1000
Phone: (505) 702-8547
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (NM)
Peer Specialist Taxonomy 175T00000X · Licence 1982 (NM)

Record details

NPI number1205625373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 5, 2025
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address4100 Barbara Loop Se, Rio Rancho, NM 87124-1000

Other providers in Rio Rancho