Janet D Tillman, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5004236 Issued in NC

Practice address

418 Highway 58 North Unit C
Trenton, NC 28585-9619

Phone

(252) 649-2770

NPI assigned

Feb 25, 2009

Last updated

Apr 28, 2017By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Jones

  dba Jones County Health Department

  • State or Local Public Health Clinic/Center
  • Trenton, NC
  • NPI 1851496269

  Family

  NPD (past)

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1467692889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 HWY 58 N UNIT C",
            "city": "TRENTON",
            "state": "NC",
            "postal_code": "28585",
            "telephone_number": "252-649-2770",
            "fax_number": "252-448-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 HIGHWAY 58 NORTH UNIT C",
            "city": "TRENTON",
            "state": "NC",
            "postal_code": "285859619",
            "telephone_number": "252-649-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "JANET",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8973980",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monarch
• Pill Caddy Inc (Realo Discount Drug Store of Trenton)
• Realo Discount Drug Stores Inc (Realo Discount Drugs of Trenton)
• Karen Patricia Shelton, D.O.
• Traver Tyrone Stewart, LPC, LCAS
• Trenton Chiropractic Center, PC
• Jaimie Melton Waters

• Family Nurse Practitioner in Trenton, NC
• Providers in Trenton, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.