Jean A Gilstrap, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

07251 Issued in MO

Practice address

126 Missouri Ave
Fort Leonard Wood, MO 65473-8952

Phone

(573) 596-0522

Fax

(573) 302-4413

NPI assigned

Jun 3, 2006

Last updated

Jun 15, 2012By the provider in NPPES

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

Other identifiers 1

Other names 1

• Dr. Jean A Smith-Wooley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jean a.Gilstrap,M.D., P.C.

  dba Ozark Mental Health Specialists

  • Psychiatry Physician
  • Waynesville, MO
  • NPI 1225173594
  NPD (past) Authorized official
• Catholic Family Services Inc.

  dba Family Wellness Program

  • Mental Health Counselor
  • Union, MO
  • NPI 1154480176
  NPD (past)
• St Louis Counseling Inc

  • Voluntary or Charitable Agency
  • Fenton, MO
  • NPI 1053397133
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1982642609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654738952",
            "telephone_number": "573-596-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654738952",
            "telephone_number": "573-596-0522",
            "fax_number": "573-302-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSTRAP",
        "first_name": "JEAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "07251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207959818",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "SMITH-WOOLEY",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Casey Gentile, MD
• Tereza Dorthea Sofia Gentle, BSN, RN
• Dia Gerdes
• Angela Gillespie
• Alexander Gillette, DPT
• Kayette Marie Glass, PSY.D.
• Linda Ann Glick, C.D.A. EFDA
• Glwach
• Michael Steven Godat, PA-C
• Jennifer Lynn Gonzalez, LSW

• Psychiatry Physician in Fort Leonard Wood, MO
• Providers in Fort Leonard Wood, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.