Active NPI
Laila Yasmeen Gilliam
- Student in an Organized Health Care Education/Training Program
- Virginia Beach, VA
National Provider Identifier
1679481535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1881 University Dr
Virginia Beach, VA 23453-8083 - Phone
- (757) 683-4297
- Fax
- (757) 683-5253
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 0001348153 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | VA | Primary |
Addresses
Primary practice location
1881 University Dr
Virginia Beach, VA 23453-8083
Mailing address
120 N Chatham Dr
Richmond, VA 23222-1204
Other practice location 1
1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-2467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1679481535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 N CHATHAM DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232221204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 UNIVERSITY DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234538083",
"telephone_number": "757-683-4297",
"fax_number": "757-683-5253"
}
],
"practiceLocations": [
{
"address_1": "1000 E Broad St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232191930",
"country_code": "US",
"telephone_number": "804-828-2467",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLIAM",
"first_name": "LAILA",
"middle_name": "YASMEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001348153",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.