Individual provider Active NPI

Carole Delesia Gilling, LPN

  • Licensed Practical Nurse
  • Gainesville, FL
National Provider Identifier
1629845920
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
5152591 Issued in FL
Practice address
2625 SW 75TH St Apt 112
Gainesville, FL 32608-8338
Phone
(352) 328-8465
NPI assigned
Dec 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 5152591 FL Primary

Addresses

Primary practice location

2625 SW 75TH St Apt 112
Gainesville, FL 32608-8338

Mailing address

2625 SW 75TH St Apt 112
Gainesville, FL 32608-8338
Phone (352) 328-8465

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

LicenseStateTypeSpecialty
5152591FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Whisperer Express Labs LLC Licensed Practical Nurse CurrentSince Apr 28, 2024 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": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1629845920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 SW 75TH ST APT 112",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088338",
            "telephone_number": "352-328-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 SW 75TH ST APT 112",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088338",
            "telephone_number": "352-328-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLING",
        "first_name": "CAROLE",
        "middle_name": "DELESIA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5152591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.