Active NPI
Kandace Gilman, CP, CFM, LPO
- Prosthetist
- Yakima, WA
National Provider Identifier
1366755373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PS00000099
- Practice address
- 317 S 11TH Ave
Yakima, WA 98902-3213 - Phone
- (509) 469-9995
- Fax
- (509) 469-9994
- NPI assigned
- Jul 19, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | OI00000100 | WA | |
| Prosthetist | 224P00000X | PS00000099 | WA | Primary |
| Orthotic Fitter | 225000000X | PS00000099 | WA |
Addresses
Primary practice location
317 S 11TH Ave
Yakima, WA 98902-3213
Mailing address
1700 N Chrisman Rd
Tracy, CA 95304-9314
Phone (509) 469-9995
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 |
|---|---|---|---|
| OI00000100 | WA | MD | Orthotist |
| PS00000099 | WA | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1366755373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N CHRISMAN RD",
"city": "TRACY",
"state": "CA",
"postal_code": "953049314",
"telephone_number": "509-469-9995",
"fax_number": "509-469-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 S 11TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023213",
"telephone_number": "509-469-9995",
"fax_number": "509-469-9994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMAN",
"first_name": "KANDACE",
"credential": "CP, CFM, LPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-19",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "WA",
"license": "OI00000100",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "WA",
"license": "PS00000099",
"primary": true
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "WA",
"license": "PS00000099",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.