Amber Gist

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

4564 Mountain Laurel Dr
Grand Prairie, TX 75052-2902

Phone

(469) 797-4864

NPI assigned

Apr 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sunshine Circle of Care LLC

  • Adult Care Home Facility
  • Grand Prairie, TX
  • NPI 1063270023

  Day Training, Developmentally Disabled Services

  NPD Authorized official
• We Shine Inc.

  • Adult Care Home Facility
  • Grand Prairie, TX
  • NPI 1083474548

  Day Training, Developmentally Disabled Services

  NPD Authorized official

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1295479285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WATTERS CREEK BLVD STE 250",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133770",
            "telephone_number": "469-797-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4564 MOUNTAIN LAUREL DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522902",
            "telephone_number": "469-797-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIST",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Christina Giddings
• Gilgal Enterprise LLC (Gilgal Home Assisted Living)
• Avneet Gill, MD
• Veronica Gillet, MA, BCBA, LBA
• Everline Nyasuguta Gisemba
• Gladics Wellness and Beauty Inc.
• Russell Eugene Glenn Jr., DDO
• GM Family Dental
• Go Ehr, LLC
• Goff's Non Emergency Medical Transportation Service Corp

• Developmentally Disabled Services Day Training Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.