Keshia Gipson

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

2014235 Issued in IL

Practice address

400 S Highland Ave
Arlington Heights, IL 60005-1868

Phone

(847) 506-6306

NPI assigned

Aug 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Keshia Teverbaugh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1346768306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S DUNTON AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053111",
            "telephone_number": "18475066306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S HIGHLAND AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051868",
            "telephone_number": "847-506-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "KESHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "2014235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KESHIA",
            "last_name": "TEVERBAUGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Frank Gilbert
• Jackie M. Gillespie-Stokland, ATC
• Gina S. Gilomen-Study, PHARM.D., PH.D.
• Mary C Gilsenan
• Jaime Marie Ginsberg, DPT
• Vito Mark Giuseffi, O. D.
• Vito G Giustino, D.D.S
• Diana M Glab, APN-CRNA
• Mark Roman Gladshteyn, PA
• Haley Glickman

• School Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.