Active NPI
Kathy Gorum, LMT
- Specialist
- Silver City, NM
National Provider Identifier
1598904997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5002
- Practice address
- 1503 W 6TH St
Silver City, NM 88061-3703 - Phone
- (575) 574-0637
- NPI assigned
- Feb 10, 2009
- Last updated
- Feb 10, 2009
- 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 | 5002 | NM | Primary |
Addresses
Primary practice location
1503 W 6TH St
Silver City, NM 88061-3703
Mailing address
1503 W 6TH St
Silver City, NM 88061-3703
Phone (575) 574-0637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5002 | Other | NM | NEW MEXICO MASSAGE THERAPY BOARD |
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 |
|---|---|---|---|
| 5002 | NM | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234224000000",
"number": "1598904997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 W 6TH ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880613703",
"telephone_number": "575-574-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 W 6TH ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880613703",
"telephone_number": "575-574-0637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORUM",
"first_name": "KATHY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-10",
"last_updated": "2009-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "5002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO MASSAGE THERAPY BOARD",
"identifier": "5002",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.