Traci Dawn Gilley

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

0119242 Issued in OK

Practice address

900 E Main St
Norman, OK 73071-5305

Phone

(405) 307-4839

NPI assigned

May 15, 2017

Last updated

May 15, 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 names 1

• Traci Dawn Wilson Former name

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1508393042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N TAYLOR AVE",
            "city": "WYNNEWOOD",
            "state": "OK",
            "postal_code": "730984630",
            "telephone_number": "903-818-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E MAIN ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715305",
            "telephone_number": "405-307-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "TRACI",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OK",
            "license": "0119242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "WILSON",
            "middle_name": "DAWN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gilead Telehealth
• Gilead Telepsych, LLC
• Jade Gill
• Eram Gillani, LMSW-P
• Leslie A Gillette, PA-C
• Jennifer Gillis, PHARMD
• Lashuna E Gillis, LPN
• Paul Stevens Gillum, M.D.
• Ross Paul Gillum, MD
• Trevetta Gillyard, RBT 23-293433

• Adult Psychiatric/Mental Health Registered Nurse in Norman, OK
• Providers in Norman, OK by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.