Active NPI
Linda Sue Gilmore
- Massage Therapist
- Fulton, MO
National Provider Identifier
1992070999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2003029788
- Practice address
- 850 West Hospital Drive
Suite a
Fulton, MO 65251 - Phone
- (573) 642-5338
- Fax
- (573) 642-9224
- NPI assigned
- Mar 9, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2003029788 | MO | Primary |
Addresses
Primary practice location
850 West Hospital Drive
Suite a
Fulton, MO 65251
Mailing address
2400 County Road 240
Columbia, MO 65202-5324
Phone (573) 826-0481
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 |
|---|---|---|---|
| 2003029788 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1992070999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 COUNTY ROAD 240",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652025324",
"telephone_number": "573-826-0481",
"fax_number": "573-642-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 WEST HOSPITAL DRIVE",
"address_2": "SUITE A",
"city": "FULTON",
"state": "MO",
"postal_code": "65251",
"telephone_number": "573-642-5338",
"fax_number": "573-642-9224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "LINDA",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-09",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2003029788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.