Active NPI
Lavonya Renee Gilmore, CNA
- Nurse's Aide
- Santee, SC
National Provider Identifier
1215813167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 560553
- Practice address
- 128 Harvard LN
Santee, SC 29142-9218 - Phone
- (803) 553-6068
- NPI assigned
- Aug 14, 2025
- Last updated
- Aug 14, 2025
- Sex
- Female
- Sole proprietor
- No
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's Aide | 376K00000X | 560553 | SC | Primary |
Addresses
Primary practice location
128 Harvard LN
Santee, SC 29142-9218
Mailing address
128 Harvard LN
Santee, SC 29142-9218
Phone (803) 553-6068
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 |
|---|---|---|---|
| 560553 | SC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1215813167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 HARVARD LN",
"city": "SANTEE",
"state": "SC",
"postal_code": "291429218",
"telephone_number": "803-553-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 HARVARD LN",
"city": "SANTEE",
"state": "SC",
"postal_code": "291429218",
"telephone_number": "803-553-6068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "LAVONYA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-14",
"last_updated": "2025-08-14",
"certification_date": "2025-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "SC",
"license": "560553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santee, SC
- Harlie Anne Corcoran Eddins, RN
- CVS Pharmacy
- Dva Healthcare Renal Care Inc (Santee Dialysis)
- Edisto Regional Health Services Inc (RMC Santee Express Care)
- Latron Elmore
- Rachel Ramsey Grooms, OTR/L
- Gossie Colette Heath Mathis, M.D
- Charles Edward Hill
- Delores Gregory Hollen, MA, LPC
- Patrick William Leonard, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.