Individual provider Active NPI

Craig Gemmill, MA

  • Student in an Organized Health Care Education/Training Program
  • Saint Paul, MN
National Provider Identifier
1366052029
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1216 Selby Ave
Saint Paul, MN 55104-7516
Phone
(651) 698-1729
NPI assigned
Aug 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1216 Selby Ave
Saint Paul, MN 55104-7516

Mailing address

3754 3Rd St NE Apt 3
Columbia Heights, MN 55421-3715
Phone (507) 236-8075

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy Spot, LLC CurrentSince Mar 16, 2021 Accepting new patients
Natalia Pokras, DPT, a Professional Corporation Past Accepting new patients

Locations

1216 Selby Ave
Saint Paul, MN 55104
Phone (651) 698-1729

550 Snelling Ave S
Ste 104
Saint Paul, MN 55116
Phone (651) 698-1729

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1366052029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3754 3RD ST NE APT 3",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213715",
            "telephone_number": "507-236-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551047516",
            "telephone_number": "651-698-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMMILL",
        "first_name": "CRAIG",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.