Active NPI
Gail Williams Cloud, D.C.
- Rehabilitation Chiropractor
- Olivette, MO
National Provider Identifier
1154448124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CEOO5641
- Practice address
- 38 Queensbrook PL
Olivette, MO 63132-3017 - Phone
- (314) 995-9755
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CEOO5641 | MO | Primary |
Addresses
Primary practice location
38 Queensbrook PL
Olivette, MO 63132-3017
Mailing address
38 Queensbrook PL
Olivette, MO 63132-3017
Phone (314) 995-9755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100423000727 | MO | Practitioner - Chiropractic | 3274660139 | Practice locations: Saint Louis, MO; St Louis, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1561 N Warson Rd
St Louis, MO 63132-1107
Phone (314) 995-9755
51 Graeler Dr
Saint Louis, MO 63146-4938
Phone (314) 995-9755
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CEOO5641 | MO | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154448124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 QUEENSBROOK PL",
"city": "OLIVETTE",
"state": "MO",
"postal_code": "631323017",
"telephone_number": "314-995-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 QUEENSBROOK PL",
"city": "OLIVETTE",
"state": "MO",
"postal_code": "631323017",
"telephone_number": "314-995-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS CLOUD",
"first_name": "GAIL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MO",
"license": "CEOO5641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olivette, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.