Active NPI
Kristen Gilmour, DC
- Chiropractor
- Fort Washington, MD
National Provider Identifier
1184131237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03691
- Practice address
- 9300 Livingston Rd Ste 100
Fort Washington, MD 20744-4923 - Phone
- (240) 766-0300
- NPI assigned
- Jan 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557465 | VA | |
| Chiropractor | 111N00000X | S03691 | MD | Primary |
Addresses
Primary practice location
9300 Livingston Rd Ste 100
Fort Washington, MD 20744-4923
Mailing address
9300 Livingston Rd Ste 100
Fort Washington, MD 20744-4923
Phone (240) 766-0300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S03961 | Other | MD | MARYLAND LICENSE |
| 0104557465 | Other | VA | VIRGINIA LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557465 | VA | MD | Chiropractor |
| S03691 | MD | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1184131237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 LIVINGSTON RD STE 100",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207444923",
"telephone_number": "240-766-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 LIVINGSTON RD STE 100",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207444923",
"telephone_number": "240-766-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMOUR",
"first_name": "KRISTEN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557465",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND LICENSE",
"identifier": "S03961",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA LICENSE",
"identifier": "0104557465",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.