Active NPI
Carmin Gilbert
- Massage Therapist
- Nampa, ID
National Provider Identifier
1902766074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAS3614
- Practice address
- 1601 12TH Ave Rd Ste 101
Nampa, ID 83686-6185 - Phone
- (208) 466-0200
- NPI assigned
- Nov 12, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAS3614 | ID | Primary |
Addresses
Primary practice location
1601 12TH Ave Rd Ste 101
Nampa, ID 83686-6185
Mailing address
1601 12TH Ave Rd Ste 101
Nampa, ID 83686-6185
Phone (208) 466-0200
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 |
|---|---|---|---|
| MAS3614 | ID | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Sports Med | Multi-Specialty | Current | Accepting new patients |
Locations
1601 12th Ave Rd
Ste 101
Nampa, ID 83686
Phone (208) 466-0200
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": "1762905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1902766074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 12TH AVE RD STE 101",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866185",
"telephone_number": "208-466-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 12TH AVE RD STE 101",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866185",
"telephone_number": "208-466-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "CARMIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-12",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "ID",
"license": "MAS3614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.