Active NPI
Peridot Gilbert, PLPC
- Counselor
- Shreveport, LA
National Provider Identifier
1477088532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6951
- Practice address
- 520 Olive St
Shreveport, LA 71104-2312 - Phone
- (318) 349-7665
- NPI assigned
- Apr 26, 2017
- Last updated
- Apr 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6951 | LA | Primary |
Addresses
Primary practice location
520 Olive St
Shreveport, LA 71104-2312
Mailing address
4855 Airline Dr Apt 31B
Bossier City, LA 71111-6642
Phone (318) 349-7665
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 |
|---|---|---|---|
| 6951 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1477088532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4855 AIRLINE DR APT 31B",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711116642",
"telephone_number": "318-349-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 OLIVE ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711042312",
"telephone_number": "318-349-7665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "PERIDOT",
"name_prefix": "Mrs.",
"credential": "PLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-26",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "6951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.