Sandra Schimpf Gobbel

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

1855 Lakeland Dr Ste P121
Jackson, MS 39216-4943

Phone

(601) 366-4696

NPI assigned

Sep 29, 2014

Last updated

Sep 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Sandra Schimpf Gobbel Professional name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson Psychiatry Group

  • Psychiatric/Mental Health Nurse Practitioner
  • Ridgeland, MS
  • NPI 1790087393
  NPD (past)
• Wright Counseling Services, LLC

  • Mental Health Counselor
  • Jackson, MS
  • NPI 1326518200
  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1346643897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 RIVER THAMES RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114631",
            "telephone_number": "601-942-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 LAKELAND DR STE P121",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164943",
            "telephone_number": "601-366-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBBEL",
        "first_name": "SANDRA",
        "middle_name": "SCHIMPF",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "GOBBEL",
            "middle_name": "SCHIMPF",
            "prefix": "MRS.",
            "credential": "PSYCHOMETRIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christina C. Glover, M.D.
• Jeffrey H Glover, M.D.
• Mitchell O'Neal Glover IV, M.D.
• Glow Transportation Services
• Edward Charles Gnam III, M.D.
• God's Gifts, LLC
• Jennifer Sumrall Godbold, APRN, BC
• Godly Blessed Hands LLC
• Emily Goeglein
• Joshua Goeglein, RN

• Other Technician in Jackson, MS
• Providers in Jackson, MS by specialty
• Other Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.