Pamela Lu Gillen, ND,RN,CNS

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

0106726 Issued in CO

Practice address

121 N 6TH St
Canon City, CO 81212-3329

Phone

(719) 221-1414

NPI assigned

Feb 4, 2021

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)

Not enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1235721952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 6TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123329",
            "telephone_number": "719-221-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 6TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123329",
            "telephone_number": "719-221-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "PAMELA",
        "middle_name": "LU",
        "name_prefix": "Dr.",
        "credential": "ND,RN,CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CO",
            "license": "0106726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Gentile, BA
• Lynn Marie Giammo, DDS
• Lesley Gilbert
• Carol A Giles, BA
• Kelly Gilkerson, CRNA
• Wonda Jean Glasser, C.N.A.
• Glorious Works Neurotherapy
• William Shaun Gogarty, M.D.
• Britt Taylene Gomer, MS CCC-SLP
• Ramona L Gonzales, BS

• Community Health Registered Nurse in Canon City, CO
• Providers in Canon City, CO by specialty
• Community Health Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.