Kelsey Danielle Gilley, CNM

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

M002131 Issued in AR

Practice address

5302 W Village Pkwy Ste 3
Rogers, AR 72758-8139

Phone

(479) 372-4560

NPI assigned

Jan 31, 2018

Last updated

Jan 31, 2018By 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 names 1

• Kelsey Danielle Gilley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

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.

• Advanced Aesthetics & Wellness Center PA, Earlmd Family Medicine PA

  • Family Medicine Physician
  • Bentonville, AR
  • NPI 1811135809
  NPD (past)

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1093213357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 W VILLAGE PKWY STE 3",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588139",
            "telephone_number": "479-372-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 W VILLAGE PKWY STE 3",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588139",
            "telephone_number": "479-372-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "KELSEY",
        "middle_name": "DANIELLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AR",
            "license": "M002131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "GILLEY",
            "middle_name": "DANIELLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharae M Gibson
• Stephanie Gibson, APRN
• Lindsey Marie Giesen, PHARMD.
• Anna Gilbert
• Derek Gililland, DC
• Katherine Fehlig Gilligan
• Rebekah Gillis Smith
• Alisha Elaine Gilmore, NP
• Charles Stephen Ginn, DPM
• Sally J Gladden, DPT

• Obstetrics & Gynecology Nurse Practitioner in Rogers, AR
• Providers in Rogers, AR by specialty
• Obstetrics & Gynecology Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.