Christina Gipson, BA COMMUNICATIONS

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3913 Peregrine St
Rock Springs, WY 82901-3490

Phone

(307) 371-2479

NPI assigned

Mar 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Souly Unique LLC

  • Community/Behavioral Health Agency
  • Rock Springs, WY
  • NPI 1194175133
  NPD (past)

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1265972673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 DAYTONA DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016862",
            "telephone_number": "307-871-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 PEREGRINE ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829013490",
            "telephone_number": "307-371-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "CHRISTINA",
        "credential": "BA COMMUNICATIONS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard P Cournoyer, MD
• Mark Tanner Gibson, PH.D.
• Megan Gilbert, RN
• Leah Renee Gillen
• Stephani L Gilmore, B.A.
• Kristen Gitchel, ATC, LAT
• Liron Gokovski, MD
• Angela Rose Gomez, RPH
• Janell Gomez
• Shelby Gordon

• Behavior Technician in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Behavior Technician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.