Susan Phillips Gibson, RPH, NUTRITIONIST
NPI 1114743010ActiveIndividual· Pharmacist, Geriatric· Menlo Park, CA
Pharmacist, Geriatric (RPH, NUTRITIONIST) in Menlo Park, California, licensed in IN, with an NPI issued in November 2024.
Overview
| NPI | 1114743010 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPH, NUTRITIONIST |
| Sole proprietor | Yes |
| NPI issued | Nov 25, 2024 |
| Last updated in NPPES | Nov 25, 2024 |
| Certified by provider | Nov 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Geriatric Primary | 1835G0303X | 26015162A | IN |
| Nutritionist | 133N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|