Kasidee Shae Gilmore

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

9045 S 1300 E
Sandy, UT 84094-3134

Phone

(801) 666-6834

Fax

(801) 904-0272

NPI assigned

Feb 5, 2020

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Utah Family Multi Care Services, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • West Jordan, UT
  • NPI 1295046100
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

• Kasidee Shae Decol Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2020.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1821620147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943134",
            "telephone_number": "801-666-6834",
            "fax_number": "801-904-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943134",
            "telephone_number": "801-666-6834",
            "fax_number": "801-904-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "KASIDEE",
        "middle_name": "SHAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KaleidaCare",
            "affiliation": "N",
            "endpointDescription": "KaleidaCare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9045 S 1300 E",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840943134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KASIDEE",
            "last_name": "DECOL",
            "middle_name": "SHAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam F Ghiz, MD
• Claire Louise Arnett Gibson, MD
• Troy Gienger, MS, AMFT
• Jonathan L Gilbert
• John Lawrence Gililland Jr., M.D.
• Keyton R Gines, M.ED, LAT, ATC, CES
• Michael Thomas Giovanniello, MD
• Joseph Hobson Gitt, MD
• Gretchen Givone, L.M.T., C.D.T.
• Mark Hamilton Glade, L.C.S.W.

• All providers in Sandy, UT
• Community Health Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.