Eva J. Poole-Gilson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

452 Old Mammoth Road, Suite 304
Mammoth Lakes, CA 93546

Phone

(760) 924-1740

NPI assigned

Feb 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881729861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KEOUGH HOT SPRINGS RD SPC 11",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935147236",
            "telephone_number": "760-872-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD MAMMOTH ROAD, SUITE 304",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "93546",
            "telephone_number": "760-924-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE-GILSON",
        "first_name": "EVA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pact (Mammoth Hospital)
• Pact Out Patient (Mammoth Hospital)
• Yuri R. Parisky, M.D.
• Audrey Pauly, M.D.
• Peak Community Physical Therapy, Inc
• Mary Katherine Prentice, MFT
• Sheri Pueblo, PHYSICAL THERAPIST
• Jesica Jasmin Ramos Castelan
• Daniel Aubry Ranson Jr., LCSW
• Melanie Reedy

• Case Manager/Care Coordinator in Mammoth Lakes, CA
• Providers in Mammoth Lakes, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.