Phyllis Gill

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

401761070615 Issued in OH

Practice address

13807 Union Ave
Cleveland, OH 44120-4520

Phone

(216) 482-0152

NPI assigned

Oct 4, 2021

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Queenphillycorp.

  • Non-emergency Medical Transport (VAN)
  • Cleveland, OH
  • NPI 1306608203
  NPD Authorized official

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1023780491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13807 UNION AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204520",
            "telephone_number": "216-482-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13807 UNION AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204520",
            "telephone_number": "216-482-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "PHYLLIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401761070615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn M Gill, CNP
• Katherine Marie Gill, CNP
• Lequetta M Gill, QMHS MA CMS MA
• Monique J Gill
• Nachelle Cierra Gill
• William J Gillen III, AGACNP-BC
• Annie Lee Giller, APRN-CNP
• Colin T Gillespie, M.D.
• Laura A Gillespie, MD
• Robert James Gillespie, MD

• Nurse's Aide in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.