Tina Renee Gilmore, MS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

704 N Oak Ave Ste 20
Ada, OK 74820-3267

Phone

(580) 332-3001

Fax

(580) 332-3652

NPI assigned

Aug 9, 2010

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Ada Area Chemical Dependency Center, Inc

  • Public Health or Welfare Agency
  • Ada, OK
  • NPI 1700104924
  NPD (past)

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1144535758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N OAK AVE STE 20",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203267",
            "telephone_number": "580-332-3001",
            "fax_number": "580-332-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N OAK AVE STE 20",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203267",
            "telephone_number": "580-332-3001",
            "fax_number": "580-332-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "TINA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100732530A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Masood Ghouse
• Joanine Marie Gibson
• James Timothy Gilbert, PA-C
• Dillon Gillespie, DO
• Brianna Gilley
• Julie Giovan, APRN-CNP
• Michael P Giovan, MD
• James Alden Glasgow, M.D.
• Brittany P. Glaspey
• Sondra G Glenn, BA

• Addiction (Substance Use Disorder) Counselor in Ada, OK
• Providers in Ada, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.