Active NPI
Dakota Gelsheimer
- Community Health Worker
- Springfield, MO
National Provider Identifier
1952857955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 24-01109
- Practice address
- 3332 S Roanoke Ave
Springfield, MO 65807-5032 - Phone
- (417) 880-4252
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 2014028845 | MO | |
| Community Health Worker | 172V00000X | 24-01109 | KS | Primary |
Addresses
Primary practice location
3332 S Roanoke Ave
Springfield, MO 65807-5032
Mailing address
3332 S Roanoke Ave
Springfield, MO 65807-5032
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 |
|---|---|---|---|
| 24-01109 | KS | MD | Community Health Worker |
| 2014028845 | MO | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1952857955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3332 S ROANOKE AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3332 S ROANOKE AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075032",
"telephone_number": "417-880-4252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELSHEIMER",
"first_name": "DAKOTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MO",
"license": "2014028845",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "KS",
"license": "24-01109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.