Tanya Glass Gipson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0000103271 Issued in TN

Practice address

1030 Jefferson Ave
Memphis, TN 38104-2127

Phone

(901) 523-8990

NPI assigned

Oct 20, 2023

Last updated

Oct 20, 2023By 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

Other names 1

• Tanya Jeunese Glass Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1982486163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9141 STONEDALE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187502",
            "telephone_number": "901-355-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042127",
            "telephone_number": "901-523-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6019 Walnut Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202113",
            "country_code": "US",
            "telephone_number": "901-226-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "TANYA",
        "middle_name": "GLASS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000103271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "GLASS",
            "middle_name": "JEUNESE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gipson Specialty Center, PLLC
• Jayme R Gipson, D.C.
• Michelle Denise Gipson
• Stephen Lavon Gipson, MD
• Tanjala Trinette Gipson, MD
• Giri Swamy MD PC
• Ojashwi Giri, PHARMD
• Katelyn Renee Girtain Haywood
• Travis M Gist
• Rebecca Njeri Gitau

• Registered Nurse in Memphis, TN
• Providers in Memphis, TN by specialty
• Registered Nurse in Tennessee

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

Verify at the official NPI Registry.