Alexis Michelle Gipson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2210 Line Ave Ste 207
Shreveport, LA 71104-2134

Phone

(318) 675-1112

Fax

(866) 307-9980

NPI assigned

Jun 20, 2018

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1417441619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 LINE AVE STE 207",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042134",
            "telephone_number": "318-675-1112",
            "fax_number": "866-307-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LINE AVE STE 207",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042134",
            "telephone_number": "318-675-1112",
            "fax_number": "866-307-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6811 Sagewood Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711299423",
            "country_code": "US",
            "telephone_number": "318-518-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "ALEXIS",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nubari Abarile Gimah
• Betty Jo Gingles
• Sandra L Ginsburg
• Jessica Jean Giordano, MD
• Passion Giounes
• Brandon R Gipson, LOTR
• Krystal Nicole Gipson
• Lacrystal Gipson
• Latoya P. Gipson, WHNP
• Leandre Gipson, MHP

• Case Manager/Care Coordinator in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.