Active NPI
Gailey Westlund, CMT SI PRACTITIONER
- Specialist
- Bloomington, MN
National Provider Identifier
1578931796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13599
- Practice address
- 2120 W Old Shakopee Rd # 3
Bloomington, MN 55431-3000 - Phone
- (952) 948-0420
- NPI assigned
- Sep 3, 2015
- Last updated
- Sep 3, 2015
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 13599 | MN | Primary |
Addresses
Primary practice location
2120 W Old Shakopee Rd # 3
Bloomington, MN 55431-3000
Mailing address
2120 W Old Shakopee Rd # 3
Bloomington, MN 55431-3000
Phone (952) 948-0420
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 |
|---|---|---|---|
| 13599 | MN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1578931796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 W OLD SHAKOPEE RD # 3",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554313000",
"telephone_number": "952-948-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 W OLD SHAKOPEE RD # 3",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554313000",
"telephone_number": "952-948-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTLUND",
"first_name": "GAILEY",
"credential": "CMT SI PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MN",
"license": "13599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.