TANJALA TRINETTE GIPSON (NPI# 1528113602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528113602 |
| Entity Type | Individual |
| Full Name | TANJALA TRINETTE GIPSON |
| Credential | MD |
| Practice Address |
51 N Dunlap St Ste 400 Memphis TN 38105-4625 |
| Mailing Address |
850 Poplar Ave Bldg 2 Memphis TN 38105-4607 |
| Practice Telephone | 9012877337 |
| Practice Fax Number | 9013875143 |
| Mailing Telephone | 9012875674 |
| Mailing Fax Number | 9012876804 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
54122 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PENDING | 05 |
| Street Address |
51 N DUNLAP ST STE 400 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380051 | Ashley B Escue | Specialist | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2005-07-19 |
| 1427599034 | Holly Lydigsen | Nurse Practitioner | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2017-03-15 |
| 1235545849 | Yonique Petrece Petgrave | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2014-07-02 |
| 1053737536 | Bruce Raymond Haas | Genetic Counselor, MS | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2014-03-08 |
| 1992146955 | Nour Akil | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105 | 2013-07-08 |
| 1205179934 | Catherine Hammond | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2013-04-01 |
| 1780933531 | Divya Salhan | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105 | 2012-09-06 |
| 1972859890 | Ahsan Bashir | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2012-07-29 |
| 1366727893 | Anushree M Algotar | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2011-10-16 |
| 1932492816 | Stacey Lee Morgan | Nurse Practitioner | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2011-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749526 | North Star Institute for Autism and Related Conditions | Pediatrics | 1138 N Germantown Pkwy Ste 101-120, Cordova, TN 38016-5872 | 2020-04-25 |
| 1821294331 | Alice Lawrence | Pediatrics | 2200 Childrens Way, 11101 Dot, Nashville, TN 37232-9003 | 2007-06-22 |
Please comment or provide details below to improve the information on TANJALA TRINETTE GIPSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.