Katelyn Brooke Gilmore, MSN CNE RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

100931 Issued in WV

Practice address

1403 Honaker Ave
Princeton, WV 24740-3065

Phone

(304) 487-1551

NPI assigned

Sep 12, 2022

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

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1013639681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 HONAKER AVE",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403065",
            "telephone_number": "304-487-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 HONAKER AVE",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403065",
            "telephone_number": "304-487-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "KATELYN",
        "middle_name": "BROOKE",
        "credential": "MSN CNE RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "100931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Gill
• Kiera Gill
• Katie Gilley
• Paggy Gilley
• Sherry Mae Gilliand
• Teyonce Glenn
• Glenwood Park Leasing Co., LLC
• Glenwood Park, Inc.
• Glenwood SNF LLC
• Crystal Goff

• School Registered Nurse in Princeton, WV
• Providers in Princeton, WV by specialty
• School Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.