Active NPI
Evelyn N/a Gillman, RN, BSN
- Registered Nurse
- Crooksville, OH
National Provider Identifier
1598099210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.337045
- Practice address
- 14753 State Route 37 E
Crooksville, OH 43731-9752 - Phone
- (740) 342-3741
- NPI assigned
- Sep 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.337045 | OH | Primary |
| Licensed Practical Nurse | 164W00000X | PN.069061 | OH |
Addresses
Primary practice location
14753 State Route 37 E
Crooksville, OH 43731-9752
Mailing address
14753 State Route 37 E
P.O. Box 38
Crooksville, OH 43731-9752
Phone (740) 342-3741
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.337045 | OH | MD | Registered Nurse |
| PN.069061 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1598099210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14753 STATE ROUTE 37 E",
"address_2": "P.O. BOX 38",
"city": "CROOKSVILLE",
"state": "OH",
"postal_code": "437319752",
"telephone_number": "740-342-3741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14753 STATE ROUTE 37 E",
"city": "CROOKSVILLE",
"state": "OH",
"postal_code": "437319752",
"telephone_number": "740-342-3741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLMAN",
"first_name": "EVELYN",
"middle_name": "N/A",
"name_prefix": "Mrs.",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-28",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.337045",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN.069061",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crooksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.