Individual provider Active NPI

Laurie Elyse Gilbert, PH.D.

  • Psychologist
  • Nashville, TN
National Provider Identifier
1407987928
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P0000001148 Issued in TN
Practice address
5819 Old Harding Rd
Suite 204
Nashville, TN 37205-3619
Phone
(615) 352-4439
Fax
(615) 352-4095
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P0000001148 TN Primary

Addresses

Primary practice location

5819 Old Harding Rd
Suite 204
Nashville, TN 37205-3619

Mailing address

5819 Old Harding Rd
Suite 204
Nashville, TN 37205-3619
Phone (615) 352-4439

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P0000001148TNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407987928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 OLD HARDING RD",
            "address_2": "SUITE 204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372053619",
            "telephone_number": "615-352-4439",
            "fax_number": "615-352-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 OLD HARDING RD",
            "address_2": "SUITE 204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372053619",
            "telephone_number": "615-352-4439",
            "fax_number": "615-352-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "LAURIE",
        "middle_name": "ELYSE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P0000001148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.