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

Kathyann Gibbs, CRNP-FAMILY

Individual provider Family Nurse Practitioner · NPI 1083871107

Kathyann Gibbs, CRNP-FAMILY is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2017, 9 years ago. Practices with Park Heights Medical Clinic LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
9
Licensed in
MD
In the registry since
2008
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Practice location Address checks out

4340 Park Heights Ave
Baltimore, MD 21215-6725
Phone: (410) 542-8130
Fax: (410) 542-1826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R160940 (MD)

Record details

NPI number1083871107
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP-FAMILY
Sole proprietorNo
NPI enumeratedMay 16, 2008
Last updated in NPPESJune 28, 2026
Certification dateJune 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Park Heights Medical Clinic Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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