Active NPI
Meagan Crockett Gipson, M.S. CCC-SLP
- Speech-Language Pathologist
- Vestavia, AL
National Provider Identifier
1154880086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4473
- Practice address
- 3140 Cahaba Heights Rd
Vestavia, AL 35243-5243 - Phone
- (205) 969-8080
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4473 | AL | Primary |
Addresses
Primary practice location
3140 Cahaba Heights Rd
Vestavia, AL 35243-5243
Mailing address
2016 Weaver Way
Leeds, AL 35094-7586
Phone (205) 948-7237
Other names 1
- Meagan Crockett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leaps Academy Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15135/brand/2/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Pell City, AL
- NPI 1336635622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1154880086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 WEAVER WAY",
"city": "LEEDS",
"state": "AL",
"postal_code": "350947586",
"telephone_number": "205-948-7237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 CAHABA HEIGHTS RD",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352435243",
"telephone_number": "205-969-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIPSON",
"first_name": "MEAGAN",
"middle_name": "CROCKETT",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "4473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEAGAN",
"last_name": "CROCKETT",
"credential": "M.S. CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.