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

Siata Anica Gibson, NP-C

Individual provider Family Nurse Practitioner · NPI 1023598091

Siata Anica Gibson, NP-C is a Nurse Practitioner in Temple Hills, Maryland. Qualified in 2018, 8 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2018
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

4467 Old Branch Ave Ste 207
Temple Hills, MD 20748-1854
Phone: (301) 630-3900
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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 R175106 (MD)

Record details

NPI number1023598091
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedAugust 18, 2018
Last updated in NPPESJune 10, 2023
Certification dateJune 10, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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