Individual provider Active NPI

Erica Rose Gilkerson, FNP

  • Family Nurse Practitioner
  • Bellevue, KY
National Provider Identifier
1679184667
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016074 Issued in KY
Practice address
119 Fairfield Ave Ste 6
Bellevue, KY 41073-1072
Phone
(859) 379-0240
NPI assigned
Aug 12, 2020
Last updated
Jun 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0028450 OH
Family Nurse Practitioner 363LF0000X 3016074 KY Primary
Student in an Organized Health Care Education/Training Program 390200000X 447710 OH

Addresses

Primary practice location

119 Fairfield Ave Ste 6
Bellevue, KY 41073-1072

Mailing address

119 Fairfield Ave Ste 6
Bellevue, KY 41073-1072
Phone (859) 379-0240

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
3016074KYMDFamily Nurse Practitioner
0028450OHMDFamily Nurse Practitioner
447710OHMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1679184667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 FAIRFIELD AVE STE 6",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731072",
            "telephone_number": "859-379-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 FAIRFIELD AVE STE 6",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731072",
            "telephone_number": "859-379-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILKERSON",
        "first_name": "ERICA",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0028450",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016074",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "447710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.