Individual provider Active NPI

Lillian Renee Gabbard

  • Developmental Therapist
  • Prestonsburg, KY
National Provider Identifier
1386773570
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
74 Timberline Est
Prestonsburg, KY 41653
Phone
(606) 424-3984
Fax
(606) 263-6206
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

74 Timberline Est
Prestonsburg, KY 41653

Mailing address

PO Box 2239
74 Timberline Estates
Prestonsburg, KY 41653-2439
Phone (606) 424-3984

Other practice location 1

16588 Ky Route 979
Beaver, KY 41604-9037
Phone (606) 424-3984

Other practice location 2

16588 Ky Route 979
Beaver, KY 41604-9037
Phone (606) 424-3984

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1386773570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2239",
            "address_2": "74 TIMBERLINE ESTATES",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416532439",
            "telephone_number": "606-424-3984",
            "fax_number": "606-263-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 TIMBERLINE EST",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-424-3984",
            "fax_number": "606-263-6206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16588 Ky Route 979",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "KY",
            "postal_code": "416049037",
            "country_code": "US",
            "telephone_number": "606-424-3984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16588 Ky Route 979",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "KY",
            "postal_code": "416049037",
            "country_code": "US",
            "telephone_number": "606-424-3984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABBARD",
        "first_name": "LILLIAN",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.