Teasleeman Gilliam

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

332781 Issued in NY

Practice address

47 Pheasant Run
Amherst, NY 14228-1839

Phone

(716) 292-2516

NPI assigned

Jan 7, 2020

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

State licenses

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1366082307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MEAD ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204457",
            "telephone_number": "716-313-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PHEASANT RUN",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281839",
            "telephone_number": "716-292-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "TEASLEEMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "332781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Gilbert
• Elizabeth Ahono Gildersleeve, DDS
• Rachel Gill
• Jill Ann Gillan-Vavreck, LMT
• Jaden Gillette, PT, DPT
• Michelle Monique Gilliland, DNP
• Kristen Gillotti, D.O.
• Paul B. Giordano, MD
• Mary M Giuseppetti, M.D.
• Phillip M Glamuzina, PA-C

• Licensed Practical Nurse in Amherst, NY
• Providers in Amherst, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.