Shanae Gills

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1565 Bronson Rd
Akron, OH 44305-1465

Phone

(330) 255-8295

NPI assigned

Jun 5, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• National Youth Advocate Program, Inc

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1679721906
  NPD (past)
• National Youth Advocate Program, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
  • NPI 1952661183
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1245722248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 BRONSON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443051465",
            "telephone_number": "330-255-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 BRONSON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443051465",
            "telephone_number": "330-255-8295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Northwest Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Tallmadge",
            "state": "OH",
            "postal_code": "442781808",
            "country_code": "US",
            "telephone_number": "330-633-4187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLS",
        "first_name": "SHANAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Gillen
• Colleen Kathryn Gillespie, CRNA
• Scott D Gillette, CRNA
• Carly Gillota
• Roslyn Gills, RA.163149
• Alisha Mikelle Gilmore
• Fred Gilmore Jr.
• Leona Gilmore
• Lisa Marie Gilmore
• Jessica Gilstorf, DO

• Community Health Worker in Akron, OH
• Providers in Akron, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.