North Star Institute for Autism and Related Conditions

Primary specialty

Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X

Legal business name

NORTH STAR INSTITUTE FOR AUTISM AND RELATED CONDITIONS

Practice address

1138 N Germantown Pkwy Ste 101-120
Cordova, TN 38016-5872

Phone

(901) 468-3366

NPI assigned

Apr 25, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tanjala Gipson, MDNPI 1528113602

Title

Founder/Ceo

Phone

(901) 468-3366

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanjala Trinette Gipson, MD

  • Pediatric Neurodevelopmental Disabilities Physician
  • Memphis, TN
  • NPI 1528113602
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587772800000",
    "number": "1134749526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 N GERMANTOWN PKWY STE 101-120",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165872",
            "telephone_number": "901-468-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 N GERMANTOWN PKWY STE 101-120",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165872",
            "telephone_number": "901-468-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR INSTITUTE FOR AUTISM AND RELATED CONDITIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-25",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A",
        "authorized_official_last_name": "GIPSON",
        "authorized_official_first_name": "TANJALA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "901-468-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikita R Edmonds
• Noble Life Counseling and Consulting, LLC
• Lauren E Noelker, M.S.
• Robert Michael Nollner, MD
• Christina Nicole Norris
• Northstar Healthcare Alpha LLC
• Northstar Healthcare LLC
• Tamyra H. Norwood, APRN, PMHNP-BC
• NP Cares, LLC
• Nuvacare Family Medicine & Obstetrics PLLC

• Pediatric Neurodevelopmental Disabilities Physician in Cordova, TN
• Providers in Cordova, TN by specialty
• Pediatric Neurodevelopmental Disabilities Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.