Marla Leshell Conwell Gipson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2550 Ridgeway Rd
Memphis, TN 38119-7445

Phone

(901) 830-1363

NPI assigned

Dec 8, 2020

Last updated

Dec 8, 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 1

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": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1740886332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 DEXTER LAKE DR APT 303",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161725",
            "telephone_number": "662-719-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 RIDGEWAY RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381197445",
            "telephone_number": "901-830-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWELL GIPSON",
        "first_name": "MARLA",
        "middle_name": "LESHELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Contemporary Pediatrics, PA
• Mahite Contreras
• Convalescent Home Health Services
• Lakeisha T Conway, CMSSW
• Rashina Conway
• Ishmael Conwell
• Audrey W Coo, M.D.
• Alexandra Cook
• Bradley Jason Cook
• Charlie Glenn Cook II, DDS

• Behavior Technician in Memphis, TN
• Providers in Memphis, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.