Tina M Gilchrist

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Practice address

1222 10TH St Ste 211
Woodward, OK 73801-3156

Phone

(580) 256-8615

NPI assigned

Mar 9, 2018

Last updated

Mar 9, 2018By the provider in NPPES

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

Other names 1

• Tina M Gore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1871096594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 MULBERRY ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013854",
            "telephone_number": "580-334-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 10TH ST STE 211",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013156",
            "telephone_number": "580-256-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILCHRIST",
        "first_name": "TINA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "GORE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Garrett D. Olive, DDS, PLLC (Midtown Dental)
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• Linda Gerber
• Kelli Giblet
• Roberta Vey Gilbert, PH.D.
• Natalie Gonzalez
• Jamie Lynn Gore, D.O.
• Mattie Faye Gore, BSW
• Maverick Garrett Gose
• Grand Lake Mental Health Center, Inc. (GRAND Mental Health)

• Recreation Therapist in Woodward, OK
• Providers in Woodward, OK by specialty
• Recreation Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.