Active NPI
Tamar Keren Gaillard, FNP-BC
- Nurse Practitioner
- Newport News, VA
National Provider Identifier
1114790201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024185396
- Practice address
- 11844 Rock Landing Dr Ste C
Newport News, VA 23606-4202 - Phone
- (757) 736-0723
- NPI assigned
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024185396 | VA | Primary |
Addresses
Primary practice location
11844 Rock Landing Dr Ste C
Newport News, VA 23606-4202
Mailing address
480 Pacific Ave Apt D
Virginia Beach, VA 23451-8221
Phone (917) 346-8357
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 |
|---|---|---|---|
| 0024185396 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Enterprises | Past | Accepting new patients | |
| Sentara Enterprises | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community Based Hospice Care Agency
- Newport News, VA
- NPI 1154482313
-
- Home Infusion Agency
- Charlottesville, VA
- NPI 1487378493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1114790201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 PACIFIC AVE APT D",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234518221",
"telephone_number": "917-346-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11844 ROCK LANDING DR STE C",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064202",
"telephone_number": "757-736-0723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAILLARD",
"first_name": "TAMAR",
"middle_name": "KEREN",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-01",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024185396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.