Kelsy Gilmore

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN209455 Issued in AZ

Practice address

1250 Pawnee Dr
Lake Havasu City, AZ 86406-8764

Phone

(928) 505-6082

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1962014357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 THUNDERBOLT AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864067102",
            "telephone_number": "928-486-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PAWNEE DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864068764",
            "telephone_number": "928-505-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "KELSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN209455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Garcia, PHARMD
• Andrew Geigle, DMD
• Shaina Geisler
• Lisa J Gibbs, M.A., CCC-A
• Jill Darlene Gilbank, BSC OT
• Debbie A Gilsdorf
• Erin Rose Ginsburg, PTA
• Terrence Patrick Gleason, M.D.
• Rafael Francisco Chupeco Go, MD, MBA, MS
• Beth Goldstein, LCSW

• School Registered Nurse in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.