Desean Gildyard

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

26612 111TH PL SE
Kent, WA 98030-9033

Phone

(206) 817-7947

NPI assigned

Dec 10, 2013

Sex

Male

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": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1558792929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 S OXFORD ST STE 901",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651831",
            "telephone_number": "206-817-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26612 111TH PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980309033",
            "telephone_number": "206-817-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILDYARD",
        "first_name": "DESEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvira P Geydarova
• Annette Gibbs, RN
• Kim Gibson
• Tiffaney Gibson
• Ruth Gichana
• Melandro M Gile, LMT
• Amarbir K Gill, M.D.
• Gurkanwal Kaur Gill
• Gurpreet Gill, RN
• Jagveer Singh Gill

• Mental Health Counselor in Kent, WA
• Providers in Kent, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.