Active NPI
Emily Gipson, MD
- General Practice Physician
- Fallon, NV
National Provider Identifier
1861060469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 44898
- Practice address
- 4755 Pasture Road BLDG 299
Naval Air Station Fallon
Fallon, NV 89496 - Phone
- (775) 426-3125
- NPI assigned
- Jun 11, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 44898 | AL | Primary |
Addresses
Primary practice location
4755 Pasture Road BLDG 299
Naval Air Station Fallon
Fallon, NV 89496
Mailing address
4755 Pasture Road BLDG 299
Naval Air Station Fallon
Fallon, NV 89496
Phone (775) 426-3125
Other practice location 1
2080 Child St
Jacksonville, FL 32214-5005
Phone (817) 723-0955
Other names 1
- Emily Overman
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44898 | AL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1861060469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 PASTURE ROAD BLDG 299",
"address_2": "NAVAL AIR STATION FALLON",
"city": "FALLON",
"state": "NV",
"postal_code": "89496",
"telephone_number": "775-426-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 PASTURE ROAD BLDG 299",
"address_2": "NAVAL AIR STATION FALLON",
"city": "FALLON",
"state": "NV",
"postal_code": "89496",
"telephone_number": "775-426-3125"
}
],
"practiceLocations": [
{
"address_1": "2080 Child St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322145005",
"country_code": "US",
"telephone_number": "817-723-0955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIPSON",
"first_name": "EMILY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "44898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "OVERMAN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fallon, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.