Mary E Gilmore

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2758 E Millennium PL
Fayetteville, AR 72703-4798

Phone

(479) 283-4637

NPI assigned

Apr 30, 2020

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arkansas Regional Therapy Services, LLC

  • Speech-Language Pathologist
  • Fayetteville, AR
  • NPI 1093958654
  NPD

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1053932095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 N COLLEGE AVE STE C",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032640",
            "telephone_number": "479-502-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 E MILLENNIUM PL",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034798",
            "telephone_number": "479-283-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "MARY",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Leigh Giles
• Courtenay Gillett
• Jack Bowen Gillison
• Regina Hope Gillison, M.A., CCC-A
• Campbell Gilmore, MBBS
• Shelia Gilmore, MHPP/TEACHER
• Halle Gilreath
• John Darrell Ginger, M.D.
• Lindsey Gipson, MS, LPC
• Nancy Sue Gitcho, LCSW

• All providers in Fayetteville, AR
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.