Shantrell Rontrice Gibson

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

221904 Issued in AR

Practice address

4055 Valley View LN
Dallas, TX 75244-5074

Phone

(855) 984-5121

NPI assigned

Sep 9, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1356251532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CHEYENNE PL",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755012620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445074",
            "telephone_number": "855-984-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SHANTRELL",
        "middle_name": "RONTRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "221904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maeghan Gibson
• Randall Charles Gibson, LPC
• Samantha Sawyer Gibson, LPC-I, NCC
• Sarah Chamberlain Gibson, LPC
• Sarah Elizabeth Gibson
• Gibsonwilliamsgroupllc
• Eugene K Gicheru, MD
• Monicah W Gichinga-Mugwe, MD
• Jane J Giddan, M.A.CCC-SLP
• Amanda Nichole Giddens, SPEECH PATHOLOGIST

• General Practice Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.