Individual provider Active NPI

Jennifer Keck Gilbow, ARNP RN DNP CFNP

  • Family Nurse Practitioner
  • Lawton, OK
National Provider Identifier
1144279258
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101863 Issued in OK
Practice address
110 NW 31St St
2ND Floor
Lawton, OK 73505-6100
Phone
(580) 357-3671
Fax
(580) 357-1256
NPI assigned
May 8, 2006
Last updated
Aug 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101863 OK Primary
Family Nurse Practitioner 363LF0000X 525840 TX

Addresses

Primary practice location

110 NW 31St St
2ND Floor
Lawton, OK 73505-6100

Mailing address

PO Box 785
Lawton, OK 73502-0785
Phone (580) 357-9984

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)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
101863OKMDFamily Nurse Practitioner
525840TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Titanium Emergency Group LLP Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1144279258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735020785",
            "telephone_number": "580-357-9984",
            "fax_number": "580-357-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NW 31ST ST",
            "address_2": "2ND FLOOR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056100",
            "telephone_number": "580-357-3671",
            "fax_number": "580-357-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBOW",
        "first_name": "JENNIFER",
        "middle_name": "KECK",
        "name_prefix": "Mrs.",
        "credential": "ARNP RN DNP CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "101863",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "525840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.