Active NPI
Kimblyn Lashun Gilyard, RN, LMT,MMP
- Nurse Massage Therapist (NMT)
- San Antonio, TX
National Provider Identifier
1639363104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Massage Therapist (NMT)
- License
- MT040302
- Practice address
- 7410 Blanco Rd
Ste 104
San Antonio, TX 78216-4363 - Phone
- (210) 861-7828
- NPI assigned
- Aug 28, 2007
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 582524 | TX | |
| Nurse Massage Therapist (NMT) | 163WM1400X | MT040302 | TX | Primary |
| Specialist | 174400000X | MT040302 | TX | |
| Home Health Registered Nurse | 163WH0200X | 582524 | TX | |
| Hospice Registered Nurse | 163WH1000X | 582524 | TX | |
| Wound Care Registered Nurse | 163WW0000X | 582524 | TX | |
| Community Health Registered Nurse | 163WC1500X | 582524 | TX | |
| Pain Management Registered Nurse | 163WP0000X | 582524 | TX | |
| Plastic Surgery Registered Nurse | 163WS0121X | 582524 | TX |
Addresses
Primary practice location
7410 Blanco Rd
Ste 104
San Antonio, TX 78216-4363
Mailing address
7410 Blanco Rd
Ste 104
San Antonio, TX 78216-4363
Phone (210) 861-7828
Other names 1
- Miss Kimberly Lashun Gilyard
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT040302 | TX | MD | Nurse Massage Therapist (NMT) |
| 582524 | TX | MD | Wound Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1639363104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7410 BLANCO RD",
"address_2": "STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164363",
"telephone_number": "210-861-7828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7410 BLANCO RD",
"address_2": "STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164363",
"telephone_number": "210-861-7828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILYARD",
"first_name": "KIMBLYN",
"middle_name": "LASHUN",
"name_prefix": "Miss",
"credential": "RN, LMT,MMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "582524",
"primary": false
},
{
"code": "163WM1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
"state": "TX",
"license": "MT040302",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "MT040302",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "582524",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "TX",
"license": "582524",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "TX",
"license": "582524",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TX",
"license": "582524",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "TX",
"license": "582524",
"primary": false
},
{
"code": "163WS0121X",
"taxonomy_group": "",
"desc": "Registered Nurse, Plastic Surgery",
"state": "TX",
"license": "582524",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "GILYARD",
"middle_name": "LASHUN",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.