Individual provider Active NPI

Charlene Jean Gilpatrick, LMP LMT NCTMB

  • Massage Therapist
  • Trout Lake, WA
National Provider Identifier
1912982976
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6299 Issued in WA
Practice address
3 Murdock Way
Trout Lake, WA 98650
Phone
(509) 395-2468
Fax
(509) 395-2468
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 6299 WA Primary
Massage Therapist 225700000X 4614 OR
Massage Therapist 225700000X 29660100

Addresses

Primary practice location

3 Murdock Way
Trout Lake, WA 98650

Mailing address

PO Box 259
Trout Lake, WA 98650-0259
Phone (509) 395-2468

Other identifiers 1

IdentifierTypeStateIssuer
48871OtherWAL&I

Other names 1

  • Cookie Jean Gilpatrick Other name

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
6299WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912982976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 259",
            "city": "TROUT LAKE",
            "state": "WA",
            "postal_code": "986500259",
            "telephone_number": "509-395-2468",
            "fax_number": "509-395-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MURDOCK WAY",
            "city": "TROUT LAKE",
            "state": "WA",
            "postal_code": "98650",
            "telephone_number": "509-395-2468",
            "fax_number": "509-395-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILPATRICK",
        "first_name": "CHARLENE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LMP LMT NCTMB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "6299",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "4614",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "29660100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "48871",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COOKIE",
            "last_name": "GILPATRICK",
            "middle_name": "JEAN",
            "credential": "LMP LMT NCTMB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Trout Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.