Active NPI
Myesha La Shon Gillespie, DPT
- Skilled Nursing Facility
- Charlotte, NC
National Provider Identifier
1902190556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 13900
- Practice address
- 3008 Westwinds CT
Charlotte, NC 28214-8451 - Phone
- (301) 536-8204
- NPI assigned
- May 31, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23454 | MD | |
| Skilled Nursing Facility | 314000000X | 13900 | NC | Primary |
Addresses
Primary practice location
3008 Westwinds CT
Charlotte, NC 28214-8451
Mailing address
3008 Westwinds CT
Charlotte, NC 28214-8451
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23454 | MD | MD | Physical Therapist |
| 13900 | NC | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1902190556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 WESTWINDS CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282148451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3008 WESTWINDS CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282148451",
"telephone_number": "301-536-8204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "MYESHA",
"middle_name": "LA SHON",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23454",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NC",
"license": "13900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.