Individual provider Active NPI

Sean Gilmore, MS CCC-SLP

  • Speech-Language Pathologist
  • Webb City, MO
National Provider Identifier
1962963009
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2023049812 Issued in MO
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

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4368KSMDClinical Social Worker
2023049812MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Webb City R-7 School District Speech-Language Pathologist PastSince Aug 10, 2025 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.

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.

Verify at the official NPI Registry.