Leandra Gillon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

340815-01 Issued in NY

Practice address

994 N Goodman St
Rochester, NY 14609-3934

Phone

(585) 615-8103

NPI assigned

Feb 27, 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

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1134713316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 N GOODMAN ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093934",
            "telephone_number": "585-615-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 N GOODMAN ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093934",
            "telephone_number": "585-615-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLON",
        "first_name": "LEANDRA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "340815-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Gilliam, LCSW
• Kyria Gilliam
• Treva G Gilliard, LCSW
• Carrie Gillis
• Melissa S Gillis
• Colleen Gillow
• Jordana Lubin Gilman, MD, MPH
• Alexa Gilmore, PT, DPT
• Hunter Scott Gilmour, PA-C
• Hannah Helen Gimbel, MD

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.