Jessa Gillaspie

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

L000000012263 Issued in TN

Practice address

711 Jefferson Ave
Memphis, TN 38105-5003

Phone

(901) 448-6580

Fax

(901) 448-4734

NPI assigned

Sep 27, 2013

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

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": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1609203272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 APPLING LAKE DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332705",
            "telephone_number": "901-481-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381055003",
            "telephone_number": "901-448-6580",
            "fax_number": "901-448-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLASPIE",
        "first_name": "JESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "TN",
            "license": "L000000012263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farrukh Gill, M.D.
• Matthew Charles Gill, M.D.
• Ravpreet Singh Gill, M.D.
• Thomas Ray Gill, DC
• Lydia Gilland, BCBA
• Amanda Gloria Gillespie, PA-C
• Brittaney Lenae' Gillespie
• Marion Boyd Gillespie, MD
• Timothy G Gillespie, M.D.
• William Gillespie, B.S.(PHARM)

• Early Intervention Provider Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Early Intervention Provider Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.