Nikkie Jean Carson-Gilmore, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PHYA2909 Issued in AK

Practice address

1870 Northwestern Drive
El Paso, TX 79912

Phone

(915) 877-5800

NPI assigned

May 10, 2023

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

• Niki Jean Smith Former 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.

• Veterans Affairs- El Paso Texas

  • Licensed Practical Nurse
  • El Paso, TX
  • NPI 1790510857
  NPD

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1245920628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 HOLLY PARK AVE",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089573",
            "telephone_number": "615-478-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 NORTHWESTERN DRIVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-877-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON-GILMORE",
        "first_name": "NIKKIE",
        "middle_name": "JEAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AK",
            "license": "PHYA2909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKI",
            "last_name": "SMITH",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew John Carrion II, PHARMD
• Felix Carrion, PHD
• Leslie Carrion
• Carroll W. Thornburg D.O.,P.a.
• Kayle Carroll, CN-P
• Allison C Carson, PT
• Natalie Cecilia Carson, LMSW
• Richard Courtney Carson, PHD
• Juan Francisco Cartagena Almono
• Raymond Cartagena

• Physical Medicine & Rehabilitation Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.