Lea Anne Gilley, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP112010 Issued in TX

Practice address

2014 Ben Merritt Dr
Ste B
Decatur, TX 76234-3851

Phone

(940) 626-8810

Fax

(940) 626-8811

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Mark L. Mankins, M.D. PA

  • Family Medicine Physician
  • Olney, TX
  • NPI 1275715419
  NPD (past)
• Olney-Hamilton Hospital District

  dba Cottonwood Creek Healthcare Community

  • Skilled Nursing Facility
  • Richardson, TX
  • NPI 1568849750
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1386652436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S FM 51",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343702",
            "telephone_number": "940-626-3888",
            "fax_number": "940-626-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 BEN MERRITT DR",
            "address_2": "STE B",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343851",
            "telephone_number": "940-626-8810",
            "fax_number": "940-626-8811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 FM N. 730",
            "address_2": "#105",
            "address_purpose": "LOCATION",
            "city": "Boyd",
            "state": "TX",
            "postal_code": "76023",
            "country_code": "US",
            "telephone_number": "940-433-2151",
            "fax_number": "940-433-2366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "LEA ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "254054",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP112010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167244605",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "883N92",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167244604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8598NZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Louise Gardner, FNP
• Guy Gregory Garrett, M.D.
• Gregory Cecil Gibbons, LCSW
• Gilbert Berdine MD
• George Keith Gill, MD
• Kushal Giri
• Catherine Givens
• Juan Godinez, MD
• Martha Janeth Gomez
• Governors Ridge Opco LLC

• Family Nurse Practitioner in Decatur, TX
• Providers in Decatur, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.