Active NPI
Stephanie Sue Gilliam, LPN
- Licensed Practical Nurse
- Columbus, OH
National Provider Identifier
1548959612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 185195
- Practice address
- Attn Lenora Isaacs
2100 Stella CT
Columbus, OH 43215-1011 - Phone
- (614) 502-7812
- Fax
- (614) 252-7987
- NPI assigned
- May 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 185195 | OH | Primary |
Addresses
Primary practice location
Attn Lenora Isaacs
2100 Stella CT
Columbus, OH 43215-1011
Mailing address
Attn Lenora Isaacs
2100 Stella CT
Columbus, OH 43215
Phone (614) 502-7812
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
| License | State | Type | Specialty |
|---|---|---|---|
| 185195 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alvis Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1548959612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ATTN LENORA ISAACS",
"address_2": "2100 STELLA CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43215",
"telephone_number": "614-502-7812",
"fax_number": "614-252-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ATTN LENORA ISAACS",
"address_2": "2100 STELLA CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151011",
"telephone_number": "614-502-7812",
"fax_number": "614-252-7987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "STEPHANIE",
"middle_name": "SUE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "185195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.