Active NPI
Lauren Dardanes Gilman, NP
- Nurse Practitioner
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209021736
- Practice address
- 2650 Ridge Ave
Evanston, IL 60201-1700 - Phone
- (847) 570-1700
- Fax
- (224) 251-4575
- NPI assigned
- Oct 28, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 23128 | SC | |
| Gerontology Nurse Practitioner | 363LG0600X | 71014083A | IN | |
| Nurse Practitioner | 363L00000X | 209021736 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave
Evanston, IL 60201-1700
Mailing address
2650 Ridge Ave
Evanston, IL 60201-1700
Phone (847) 570-1700
Other practice location 1
1552 N Limestone St Ste C
Gaffney, SC 29340-4750
Phone (864) 487-0155
Other practice location 2
2525 W University Ave Ste 403
Muncie, IN 47303-3409
Phone (765) 289-6381
Other practice location 3
300 W Butler Rd
Mauldin, SC 29662-2585
Phone (864) 277-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP6377 | Medicaid | SC | |
| SCG5087628 | Other | SC | MEDICARE PIN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lgilman187413@direct-srhs.et0939.epichosted.com | Direct | |
| Direct Messaging Address | lgilman@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71014083A | IN | MD | Gerontology Nurse Practitioner |
| 23128 | SC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Ball Memorial Physicians, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Spartanburg Medical Center | Past | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Past | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
2525 W University Ave
Ste 403
Muncie, IN 47303
Phone (317) 289-6381
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
510 W Votaw St
Portland, IN 47371
Phone (260) 726-2890
500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515
Interoperability endpoints
- lgilman@direct.iuhealth.org
- lgilman187413@direct-srhs.et0939.epichosted.com
- lgilman1@direct.iuhealth.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Nurse Practitioner
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Nurse Practitioner
-
- Hospitalist Physician
- Muncie, IN
- NPI 1598938037
-
- Obstetrics & Gynecology Physician
- Spartanburg, SC
- NPI 1376580852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1568005072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-1700",
"fax_number": "224-251-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-1700",
"fax_number": "224-251-4575"
}
],
"practiceLocations": [
{
"address_1": "1552 N Limestone St Ste C",
"address_purpose": "LOCATION",
"city": "Gaffney",
"state": "SC",
"postal_code": "293404750",
"country_code": "US",
"telephone_number": "864-487-0155",
"fax_number": "864-487-0924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2525 W University Ave Ste 403",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473033409",
"country_code": "US",
"telephone_number": "765-289-6381",
"fax_number": "765-448-7646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 W Butler Rd",
"address_purpose": "LOCATION",
"city": "Mauldin",
"state": "SC",
"postal_code": "296622585",
"country_code": "US",
"telephone_number": "864-277-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILMAN",
"first_name": "LAUREN",
"middle_name": "DARDANES",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "SC",
"license": "23128",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IN",
"license": "71014083A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209021736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP6377",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SCG5087628",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lgilman187413@direct-srhs.et0939.epichosted.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "lgilman187413@direct-srhs.et0939.epichosted.com",
"address_1": "1552 N Limestone St Ste C",
"city": "Gaffney",
"state": "SC",
"country_code": "US",
"postal_code": "293404750",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lgilman@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2525 W University Ave Ste 403",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473033409",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.