Individual provider Active NPI

Jennifer Gilbert, EDS

  • School Psychologist
  • Fredericksburg, VA
National Provider Identifier
1477041226
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
63 Stafford Indians LN
Fredericksburg, VA 22405-5803
Phone
(540) 371-7200
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X VA Primary

Addresses

Primary practice location

63 Stafford Indians LN
Fredericksburg, VA 22405-5803

Mailing address

63 Stafford Indians LN
Fredericksburg, VA 22405-5803
Phone (540) 371-7200

Other practice location 1

501 Deacon Rd
Fredericksburg, VA 22405-1828
Phone (540) 373-5454

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": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1477041226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 STAFFORD INDIANS LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224055803",
            "telephone_number": "540-371-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 STAFFORD INDIANS LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224055803",
            "telephone_number": "540-371-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Deacon Rd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224051828",
            "country_code": "US",
            "telephone_number": "540-373-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "JENNIFER",
        "credential": "EDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.