Active NPI
Renee Gipson, LVN
- Licensed Vocational Nurse
- Elk Grove, CA
National Provider Identifier
1417852765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 741111
- Practice address
- 8666 Summer Sun Way
Elk Grove, CA 95624-1210 - Phone
- (209) 480-1260
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 741111 | CA | Primary |
Addresses
Primary practice location
8666 Summer Sun Way
Elk Grove, CA 95624-1210
Mailing address
8666 Summer Sun Way
Elk Grove, CA 95624-1210
Phone (510) 363-0206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1417852765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8666 SUMMER SUN WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956241210",
"telephone_number": "510-363-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8666 SUMMER SUN WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956241210",
"telephone_number": "209-480-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIPSON",
"first_name": "RENEE",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "741111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.