Individual provider Active NPI

Jeffrey Gilman

  • Home Health Registered Nurse
  • Muskegon, MI
National Provider Identifier
1366818320
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
4704189762 Issued in MI
Practice address
5571 E Apple Ave
Muskegon, MI 49442-3071
Phone
(269) 965-2000
NPI assigned
Aug 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 4704189762 MI Primary

Addresses

Primary practice location

5571 E Apple Ave
Muskegon, MI 49442-3071

Mailing address

5571 E Apple Ave
Muskegon, MI 49442-3071
Phone (269) 965-2000

Other practice location 1

2766 W 11 Mile Rd
suite 2
Berkley, MI 48072-3033
Phone (248) 542-2424

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

LicenseStateTypeSpecialty
4704189762MIMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366818320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 E APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423071",
            "telephone_number": "269-965-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 E APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423071",
            "telephone_number": "269-965-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2766 W 11 Mile Rd",
            "address_2": "suite 2",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "MI",
            "postal_code": "480723033",
            "country_code": "US",
            "telephone_number": "248-542-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMAN",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704189762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.