Kathy L Gillispie, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

126387 Issued in TX

Practice address

1314 Lake St
Fort Worth, TX 76102-4581

Phone

(817) 721-5918

NPI assigned

Mar 22, 2021

Sex

Female

Sole proprietor

No

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

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1629654553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 LAKE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024581",
            "telephone_number": "817-721-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 LAKE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024581",
            "telephone_number": "817-721-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLISPIE",
        "first_name": "KATHY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "126387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Ann Gillespie, RNC NNP
• Ray Cooke Gillespie, D.D.S.
• Robert S Gillespie, MD
• Janita R Gilliam, SLPD, CCC-SLP
• Leah Gilliam, LMSW
• Patricia L. Gillum, CRNA
• Gregory P Gilman, A.T.
• Jeffrey W Gilman, MD
• Macarthur Gilmer, M.S.
• Amber Gilmore, LVN

• Licensed Practical Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.