Individual provider Active NPI

Carmin Gilbert

  • Massage Therapist
  • Nampa, ID
National Provider Identifier
1902766074
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS3614 Issued in ID
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

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
MAS3614IDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Sports Med Multi-Specialty CurrentSince Nov 18, 2025 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.

Verify at the official NPI Registry.