Nancy Anne Gilliom, PH.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY000741 Issued in FL

Practice address

2051 Art Museum Dr
Suite 130
Jacksonville, FL 32207-2596

Phone

(904) 399-3323

Fax

(904) 399-3360

NPI assigned

Jun 3, 2006

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gilliom Audiology, P.a.

  • Audiologist
  • Jacksonville, FL
  • NPI 1528215639
  Authorized official Same address or phone

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1396783031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 ART MUSEUM DR",
            "address_2": "SUITE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072596",
            "telephone_number": "904-399-3323",
            "fax_number": "904-399-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 ART MUSEUM DR",
            "address_2": "SUITE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072596",
            "telephone_number": "904-399-3323",
            "fax_number": "904-399-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIOM",
        "first_name": "NANCY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY000741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Thomas Gilliland, IDC
• Bruce Lindsley Gillingham, M.D.
• Laquanda Monique Gillins-Highsmith, MS
• Erica Gillins, LPN
• Gilliom Audiology, P.a.
• Cristina M Gillis, AP
• Heather Gilmore, APRN
• Kiersten Bershette Gilmore
• Samantha Jo Gilmore, BS
• Sophie Gilmore

• Audiologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.