Tanika Annette Gillard, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

6375 Issued in TN

Practice address

4 Hampton LN
Jackson, TN 38305

Phone

(731) 616-7601

NPI assigned

Jul 28, 2017

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

Other names 1

• Tanika Annette Gillard Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Theurapeutics

  • Health Maintenance Organization
  • Jackson, TN
  • NPI 1528582046
  NPD Authorized official

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245754563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 N HAMPTON LN",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053924",
            "telephone_number": "731-616-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAMPTON LN",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-616-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLARD",
        "first_name": "TANIKA",
        "middle_name": "ANNETTE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "6375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIKA",
            "last_name": "GILLARD",
            "middle_name": "ANNETTE",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Sam Giampapa, MD
• Gregory Darryl Gibson, PHARMD
• Penny Ann Gibson
• Veronica Gibson
• Naveed Anwar Gill, MD
• Jeffrey Hal Gillis, DO
• Marqueisha Latoya Gillispie, CM
• Robert Gilroy Jr., M.D.
• Clayton Barry Glenn, DDS
• Victor Go, MD

• Massage Therapist in Jackson, TN
• Providers in Jackson, TN by specialty
• Massage Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.