Jennifer Celeste Gilliam, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3659 Issued in OH

Practice address

150 Springside Drive
Suite B200
Fairlawn, OH 44333-2473

Phone

(330) 281-1238

Fax

(330) 296-4434

NPI assigned

Mar 6, 2007

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

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1144350729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SPRINGSIDE DRIVE",
            "address_2": "SUITE B200",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332473",
            "telephone_number": "330-281-1238",
            "fax_number": "330-296-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SPRINGSIDE DRIVE",
            "address_2": "SUITE B200",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332473",
            "telephone_number": "330-281-1238",
            "fax_number": "330-296-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "JENNIFER",
        "middle_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Gibson-Stewart
• Kori Gibson
• Randall W Gibson, M.ED., LMT
• Amanda Giebel
• Laura Gill
• Lauren Gin, PT, DPT
• Linda M Ginesi, M.A.
• Nikki J Glass, CNP
• Autumn Nicole Glenn, BCBA
• Jonathan Gliebe

• Chiropractor in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.