Darlene Gilliam

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

33-11771899 Issued in VA

Practice address

2924 Providence Creek Rd
Richmond, VA 23236-5266

Phone

(804) 745-7910

Fax

(804) 745-7910

NPI assigned

Aug 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1649462953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 PROVIDENCE CREEK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232365266",
            "telephone_number": "804-745-7910",
            "fax_number": "804-745-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 PROVIDENCE CREEK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232365266",
            "telephone_number": "804-745-7910",
            "fax_number": "804-745-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "DARLENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": "33-11771899",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Spencer Gillen, M.D.
• Rachele C Gillespie, DDS
• Shelley Smith Gillespie, LPN
• Thomas Edward Gillespie, MSW CSSW
• Cassandra Raymo Gilliam
• Jamel G Gilliam, DPT
• John Hilliard Gilliam, MD
• Kara Dunegan Gilliam, DDS
• Kari Gilliam, M.D.
• Katina L Gilliam

• Case Manager/Care Coordinator in Richmond, VA
• Providers in Richmond, VA by specialty
• Case Manager/Care Coordinator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.