Karissa Carrie Gilmore

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

G240-129-67-600-0 Issued in FL

Practice address

518 SW Prima Vista Blvd
Port Saint Lucie, FL 34983-8734

Phone

(772) 873-8811

NPI assigned

Jun 13, 2025

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

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1386530889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 SE MARIUS ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527276",
            "telephone_number": "772-812-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 SW PRIMA VISTA BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349838734",
            "telephone_number": "772-873-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "KARISSA",
        "middle_name": "CARRIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "G240-129-67-600-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gesher Medical Services, LLC
• Monica Joy Gietler, MASSAGE THERAPIST
• Gift of Freedom Recovery Center
• Luciano Giglio, PTA
• Ashley Gilbert
• Kenneth Gilmore
• Johanna Giraldo Vallejo
• Brianna Gitlin
• Glady'S Group Home Inc
• Global Trauma Systems Inc

• Case Manager/Care Coordinator in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.