Stephanie Natasha Gipson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2008035985 Issued in MO

Practice address

4219 Laclede Ave
Suite B
Saint Louis, MO 63108-2814

Phone

(314) 286-4545

Fax

(314) 286-4542

NPI assigned

Dec 9, 2011

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Independence Center

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1174668289
  NPD (past)

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1689942278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 FOREST PARK AVE",
            "address_2": "ATTN: MWP-ACCOUNTING DEPT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082810",
            "telephone_number": "314-286-4545",
            "fax_number": "314-286-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 LACLEDE AVE",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082814",
            "telephone_number": "314-286-4545",
            "fax_number": "314-286-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "STEPHANIE",
        "middle_name": "NATASHA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2008035985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James William Ginther Jr., M.D.
• Gipson Mobile Health
• Eric P Gipson, PHYS ASSIST CERT
• Joann Gipson, FNP-C
• Loral Gipson
• Genesys Giraldo, MD
• Heather Girard, ANP
• Margo Renee Girardi, MD
• Sukepma Giri, M.D
• Sarah Girresch-Ward, PHD

• Licensed Practical Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.