Active NPI
Tomeka Danelly Gipson, RN
- Critical Care Medicine Registered Nurse
- Montgomery, AL
National Provider Identifier
1760645014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 1114433
- Practice address
- 2105 East South BLV
Baptist Medical Center South
Montgomery, AL 36116 - Phone
- (334) 288-2100
- NPI assigned
- Jul 8, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 1114433 | AL | Primary |
Addresses
Primary practice location
2105 East South BLV
Baptist Medical Center South
Montgomery, AL 36116
Mailing address
710 Mildred St
Montgomery, AL 36104-3929
Phone (334) 834-8281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1114433 | AL | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1760645014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 MILDRED ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361043929",
"telephone_number": "334-834-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 EAST SOUTH BLV",
"address_2": "BAPTIST MEDICAL CENTER SOUTH",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36116",
"telephone_number": "334-288-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIPSON",
"first_name": "TOMEKA",
"middle_name": "DANELLY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "AL",
"license": "1114433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.