Deitra Michelle Gilbert, RN

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

LC000122 Issued in GA

Practice address

3238 Henderson Walk
Atlanta, GA 30340-4326

Phone

(404) 456-0819

NPI assigned

Dec 19, 2018

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1205308905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 HENDERSON WALK",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404326",
            "telephone_number": "404-456-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 HENDERSON WALK",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404326",
            "telephone_number": "404-456-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "DEITRA",
        "middle_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "GA",
            "license": "LC000122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misbah Gilani
• Allie Taylor Gilbert
• Camiel Gilbert
• Cedric Carlton Gilbert, MASSAGE THERAPIST
• Colleah Gilbert, DC
• Emily Harriet Gilbert, PA-C
• Henrinetta Gilbert, BA PSYCHOLOGY
• Jill Gilbert
• Julie Gilbert, M.D.
• Kimberly Gilbert, MD

• Lactation Consultant (Registered Nurse) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Lactation Consultant (Registered Nurse) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.