Hayley Gill, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

1009581 Issued in TX

Practice address

403 Enterprise St
Longview, TX 75604-5463

Phone

(903) 230-8110

NPI assigned

May 21, 2021

Last updated

May 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1568037562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 ENTERPRISE ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756045463",
            "telephone_number": "903-230-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 ENTERPRISE ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756045463",
            "telephone_number": "903-230-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "HAYLEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "1009581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gibson Sales LP (Drug Emporium 200)
• Anita Jo Gibson, RN
• Corey L. Gibson, M.A.
• Drew David Gibson, M.D.
• Larry Jack Gilbert, LPC, LMFT, LSSP
• Brenda Gillar, CCC/SLP
• Charlsie Ferguson Gillcoat, ACNP-BC
• Cheryl Diane Gilliam, R.PH.
• Jaclyn P Gilliam, CNM
• Kelly Sue Gilmer, LPC

• Pediatric Registered Nurse in Longview, TX
• Providers in Longview, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.