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

Thiago Gibson, CRNP-FNP

Individual provider Family Nurse Practitioner · NPI 1356894596

Thiago Gibson, CRNP-FNP is a Nurse Practitioner in Silver Spring, Maryland. Qualified in 2016, 10 years ago. Accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
10
Licensed in
MD
In the registry since
2016
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Practice location Address checks out

2101 Medical Park Dr Ste 300
Silver Spring, MD 20902-4053
Phone: (301) 802-6493
Fax: (844) 772-9186
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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 R197629 (MD)

Record details

NPI number1356894596
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP-FNP
Sole proprietorNo
NPI enumeratedJuly 24, 2016
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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