Active NPI
Sean Gilmore, MS CCC-SLP
- Speech-Language Pathologist
- Webb City, MO
National Provider Identifier
1962963009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2023049812
- Practice address
- 411 N Madison St
Webb City, MO 64870-1238 - Phone
- (417) 673-6000
- NPI assigned
- Mar 29, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4368 | KS | |
| Speech-Language Pathologist | 235Z00000X | 2023049812 | MO | Primary |
Addresses
Primary practice location
411 N Madison St
Webb City, MO 64870-1238
Mailing address
644 W Oak St
Columbus, KS 66725-1032
Phone (620) 762-2160
Other practice location 1
1502 E Centennial Dr
Pittsburg, KS 66762-6718
Phone (620) 235-0020
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4368 | KS | MD | Clinical Social Worker |
| 2023049812 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webb City R-7 School District | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Webb City, MO
- NPI 1033245790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1962963009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 W OAK ST",
"city": "COLUMBUS",
"state": "KS",
"postal_code": "667251032",
"telephone_number": "620-762-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N MADISON ST",
"city": "WEBB CITY",
"state": "MO",
"postal_code": "648701238",
"telephone_number": "417-673-6000"
}
],
"practiceLocations": [
{
"address_1": "1502 E Centennial Dr",
"address_purpose": "LOCATION",
"city": "Pittsburg",
"state": "KS",
"postal_code": "667626718",
"country_code": "US",
"telephone_number": "620-235-0020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILMORE",
"first_name": "SEAN",
"credential": "MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-29",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "4368",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2023049812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webb City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.