Darie S. Gilliam, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

84714-2755 Issued in LA

Practice address

11990 Jackson St
Clinton, LA 70722-3210

Phone

(225) 683-5292

Fax

(225) 683-3411

NPI assigned

May 27, 2005

Last updated

Mar 7, 2023By 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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Providers for a Healthy Feliciana, IncGroup PAC ID 1052220985, shared by 67 NPIs, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: darie.gilliam.p1@direct.rkmprimarycare.nextgenshare.com

All facility ownership & control disclosures 57

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 57

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Primary Care Providers for a Healthy Feliciana Inc

  dba Roseland Elementary

  • Federally Qualified Health Center (FQHC)
  • Roseland, LA
  • NPI 1023995438

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Primary Care Providers for a Healthy Feliciana Inc

  dba Woodland Park Magnet

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1083591473

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Primary Care Providers for a Healthy Feliciana Inc

  dba Natalbany Middle

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1093692592

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Primary Care Providers for a Healthy Feliciana Inc

  dba Ponchatoula High School

  • Federally Qualified Health Center (FQHC)
  • Ponchatoula, LA
  • NPI 1093693277

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Primary Care Providers for a Healthy Feliciana Inc

  dba Midway Elementary

  • Federally Qualified Health Center (FQHC)
  • Tickfaw, LA
  • NPI 1104703602

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Primary Care Providers for a Healthy Feliciana Inc

  dba Hammond Westside Montessori

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1104704576

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Primary Care Providers for a Healthy Feliciana Inc

  dba Caneview

  • Federally Qualified Health Center (FQHC)
  • Port Allen, LA
  • NPI 1245117639

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Primary Care Providers for a Healthy Feliciana Inc

  dba Greenville Park Leadership Academy

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1265319784

  Corporate Officer

  CMS ownership
• Primary Care Providers for a Healthy Feliciana Inc

  dba Hammond High Magnet

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1407733934

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Primary Care Providers for a Healthy Feliciana Inc

  dba Port Allen Elementary

  • Federally Qualified Health Center (FQHC)
  • Port Allen, LA
  • NPI 1508743998

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Primary Care Providers for a Healthy Feliciana Inc

  dba Tucker Memorial Elementary

  • Federally Qualified Health Center (FQHC)
  • Ponchatoula, LA
  • NPI 1538046925

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Primary Care Providers for a Healthy Feliciana Inc

  dba RKM at Amite Westside Magnet

  • Federally Qualified Health Center (FQHC)
  • Amite, LA
  • NPI 1578440087

  Corporate Officer, Operational/Managerial Control

  CMS ownership

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.

• Primary Care Providers for a Healthy Feliciana, Inc.

  dba Clinton Lower Health Center

  • Federally Qualified Health Center (FQHC)
  • Clinton, LA
  • NPI 1821245127
  Medicare reassignment NPD
• Primary Care Providers for a Healthy Feliciana Inc

  dba Slaughter Health Center

  • Federally Qualified Health Center (FQHC)
  • Slaughter, LA
  • NPI 1467608729
  NPD
• Primary Care Providers for a Healthy Feliciana, Inc

  dba RKM at Springfield Elementary

  • Federally Qualified Health Center (FQHC)
  • Springfield, LA
  • NPI 1326923384
  NPD
• Primary Care Providers for a Healthy Feliciana Inc

  dba RKM Primary Care

  • Federally Qualified Health Center (FQHC)
  • Clinton, LA
  • NPI 1699878645
  NPD (past)
• Primary Care Providers for a Healthy Feliciana, Inc

  dba RKM Loranger

  • Federally Qualified Health Center (FQHC)
  • Loranger, LA
  • NPI 1710427455
  NPD (past)
• Primary Care Providers for a Healthy Feliciana, Inc

  dba Clinton Middle Health Center

  • Federally Qualified Health Center (FQHC)
  • Clinton, LA
  • NPI 1871692483
  NPD (past)
• Primary Care Providers for a Healthy Feliciana, Inc.

  dba Jackson Complex Health Center

  • Federally Qualified Health Center (FQHC)
  • Jackson, LA
  • NPI 1437258043
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174526883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707220395",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 JACKSON ST",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707223210",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "DARIE",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "84714-2755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1534935",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1653047",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon C Gavin, P.T.
• Natasha Danielle Gay, FNP
• Wimberly Reeves Gayle
• Tracy George, RN
• Alison Gifford, RN
• Laresha Gilmore
• Lashadra Gilmore
• Jessica Fae Golden-Cooper, LCSW
• Taylor R Goudeau, CNP
• Heather Michelle Gouner, FNP-C

• Family Nurse Practitioner in Clinton, LA
• Providers in Clinton, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.