Cathleen NMN Gilliam

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

9511692 Issued in FL

Practice address

5309 19TH Ave W
Bradenton, FL 34209-5069

Phone

(302) 249-2270

NPI assigned

Jan 19, 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

Other identifiers 3

Electronic endpoints 1

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1144810730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 19TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 19TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095069",
            "telephone_number": "302-249-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "CATHLEEN",
        "middle_name": "NMN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "9511692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE QUALITY ASSURANCE",
            "identifier": "2862350",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DEPARTMENT OF HEALTH",
            "identifier": "2862350",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DEPT OF MEDICAL QUALITY ASSURANCE",
            "identifier": "9511692",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cathyg727@aol.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "5309 19th Ave W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342095069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alyssa Gilbert
• Ronald K Gilbert, D.C.
• Joni M Gilbertson
• Navjot Gill
• Ashley Taylor Lashawn Gillam
• Lauren S Gillick
• Tina Lynne Gilliland, LMHC
• Raquel Tashiana Gillis
• Kelsey Gilmartin, OTR
• Belie Girma

• Community Health Registered Nurse in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Community Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.