Individual provider Active NPI

Christine J Gilmore, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bedford, VA
National Provider Identifier
1851686356
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024184118 Issued in VA
Practice address
1409 Old Dominion Blvd
Bedford, VA 24523-3285
Phone
(540) 586-5429
Fax
(540) 586-1481
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP01797 NM
Adult Health Nurse Practitioner 363LA2200X 20240 CA
Adult Health Nurse Practitioner 363LA2200X 01797 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024184118 VA Primary

Addresses

Primary practice location

1409 Old Dominion Blvd
Bedford, VA 24523-3285

Mailing address

PO Box 6316
Lynchburg, VA 24505-6316
Phone (434) 485-8862

Other identifiers 1

IdentifierTypeStateIssuer
64076075MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220906001596 VA Practitioner - Nurse Practitioner 7911178736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Horizon Behavioral HealthGroup PAC ID 5092791814, 37 clinicians

Practice addresses (Care Compare)

1409 Ole Dominion Blvd
Bedford, VA 24523
Phone (540) 586-5429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP01797NMMDNurse Practitioner
01797NMMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Behavioral Health CurrentSince Aug 15, 2022 Accepting new patients

Locations

120 W Commerce St
Amherst, VA 24521
Phone (434) 847-8004

1615 Longwood Ave
Bedford, VA 24523

1409 Old Dominion Blvd
Bedford, VA 24523
Phone (540) 586-5429

2225 Langhorne Rd
#A
Lynchburg, VA 24501
Phone (434) 477-5000

2225 Langhorne Rd
#B
Lynchburg, VA 24501
Phone (434) 447-5000

2215 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 948-4831

2235 Landover Pl
Lynchburg, VA 24501
Phone (434) 847-8000

2241 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 455-3045

37 Village Hwy
Rustburg, VA 24588
Phone (434) 332-5149

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1851686356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6316",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245056316",
            "telephone_number": "434-485-8862",
            "fax_number": "434-485-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 OLD DOMINION BLVD",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245233285",
            "telephone_number": "540-586-5429",
            "fax_number": "540-586-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "CHRISTINE",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP01797",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "20240",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "01797",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024184118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64076075",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

Verify at the official NPI Registry.