Active NPI
Latrice Gipson
- Contractor
- Omaha, NE
National Provider Identifier
1215734835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 4211 S 143Rd Cir
Omaha, NE 68137-4505 - Phone
- (402) 598-0517
- NPI assigned
- Mar 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | NE | Primary |
Addresses
Primary practice location
4211 S 143Rd Cir
Omaha, NE 68137-4505
Mailing address
4211 S 143Rd Cir
Omaha, NE 68137-4505
Phone (402) 598-0517
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1215734835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 S 143RD CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681374505",
"telephone_number": "402-598-0517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 S 143RD CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681374505",
"telephone_number": "402-598-0517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIPSON",
"first_name": "LATRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-01",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.