Elaine Gilliam, M.N.T.

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

Practice address

5230 E Stop 11 Rd
Suite 150
Indianapolis, IN 46237-6339

Phone

(317) 865-5904

Fax

(317) 865-5321

NPI assigned

Jul 23, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• St Francis Hospital and Health Centers

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1730284837
  NPD (past)
• St. Francis Medical Group, LLC

  • Internal Medicine Physician
  • Greenwood, IN
  • NPI 1467693135
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1225050198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664056",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462664056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 E STOP 11 RD",
            "address_2": "SUITE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376339",
            "telephone_number": "317-865-5904",
            "fax_number": "317-865-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "ELAINE",
        "credential": "M.N.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Gilles
• Emily Jo Ann Gillespie, LMHC
• Jessica Nguyen Gillespie, MD
• Melissa Gillette, PHD, MS, CGC
• Paul F Gillette, LCSW
• Lauren Kristina Gilliam, PA-C
• Michelle Therese Gilliatte, M.D.
• Molly Jo Gillig
• Quinn E Gillig
• Michelle Gillim

• Registered Dietetic Technician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Registered Dietetic Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.