Jeanne Gill, RN

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

55726 Issued in NE

Practice address

820 E 29TH St
South Sioux City, NE 68776-3344

Phone

(402) 494-1662

Fax

(402) 494-1662

NPI assigned

Jan 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1033617550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "JACKSON",
            "state": "NE",
            "postal_code": "687430083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E 29TH ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763344",
            "telephone_number": "402-494-1662",
            "fax_number": "402-494-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "JEANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "55726",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "NE",
            "license": "55726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "55726",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel Garcia
• Yuriana Garcia
• Laurie Jean Gardea
• Serena R Garvin
• Shumbura Irre Gemeda
• Michelle Gill
• Rosalind M Gill
• Whitney C Gill
• Pamela Gillaspie
• Melody Gilmore

• Occupational Health Registered Nurse in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Occupational Health Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.