Individual provider Active NPI

Sunny Gilliam, APRN, FNP-C

  • Family Nurse Practitioner
  • Waco, TX
National Provider Identifier
1043947278
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1099678 Issued in TX
Practice address
333 Londonderry Dr Ste 200
Waco, TX 76712-7930
Phone
(254) 751-9777
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1099678 TX Primary

Addresses

Primary practice location

333 Londonderry Dr Ste 200
Waco, TX 76712-7930

Mailing address

333 Londonderry Dr Ste 200
Waco, TX 76712-7930
Phone (254) 751-9777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230522001992 TX Practitioner - Nurse Practitioner 7214393032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart of Texas Community Health Center, Inc.Group PAC ID 1153370242, 106 clinicians

Practice addresses (Care Compare)

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

1800 Gurley LN
Waco, TX 76706-4025
Phone (254) 313-6000

600 W State Hwy 6
Waco, TX 76712-3977
Phone (254) 313-6700

609 Elm Ave
Waco, TX 76704-2516
Phone (254) 313-6900

6500 Imperial Dr
Suite 200
Waco, TX 76712-3977
Phone (254) 313-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1099678TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Community Health Center, Inc CurrentSince May 8, 2023 Accepting new patients
McLennan County Medical Education and Research Foundation Current Accepting new patients
Heart of Texas Community Health Center Inc Current Accepting new patients
Heart of Texas Community Health Center, Inc. CurrentSince May 8, 2023 Accepting new patients
Diabetes & Endocrine Center of Central Texas PA PastSince Jul 1, 2010 Accepting new patients

Locations

600 S 25th St
Ste 115
Temple, TX 76504
Phone (254) 899-8650

1610 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

609 Elm Ave
Waco, TX 76704
Phone (254) 313-6900

120 Hillcrest Medical Blvd
Ste 300
Waco, TX 76712
Phone (254) 313-6500

600 W State Highway 6
Waco, TX 76712
Phone (254) 313-6700

1800 Gurley Ln
Waco, TX 76706
Phone (254) 313-6000

1226 Washington Ave
Waco, TX 76701
Phone (254) 313-6300

2201 MacArthur Dr
Ste 103
Waco, TX 76708
Phone (254) 202-6100

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

556 N Loop 340
Waco, TX 76705
Phone (254) 313-5400

6500 Imperial Dr
Ste 200
Waco, TX 76712
Phone (253) 313-6600

120 Hillcrest Medical Blvd
Bldg Ii
Waco, TX 76712
Phone (254) 313-6500

Organizations & group practices 5

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1043947278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LONDONDERRY DR STE 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127930",
            "telephone_number": "254-751-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LONDONDERRY DR STE 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127930",
            "telephone_number": "254-751-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "SUNNY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1099678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.