Gina R Gilliland, RNCWHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

120873 Issued in MO

Practice address

800 W Jefferson St
Kirksville, MO 63501-1443

Phone

(660) 626-2036

Fax

(660) 626-2038

NPI assigned

Dec 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gina R West Sr. Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1679559884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WEST JEFFERSON STREET",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013557",
            "telephone_number": "660-626-2036",
            "fax_number": "660-626-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011443",
            "telephone_number": "660-626-2036",
            "fax_number": "660-626-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAND",
        "first_name": "GINA",
        "middle_name": "R",
        "credential": "RNCWHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "120873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429780414",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "WEST",
            "middle_name": "R",
            "suffix": "SR.",
            "credential": "RNCWHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maura Beth Gerdes, D.O.
• Madison Geren, BCBA
• Deborah Diane Gering
• Raelene M Gilbert, LPC
• Kristen Suzanne Gillette, OTR/L, DPT
• Katelyn Elizabeth Glaspie, M.A., CCC-SLP
• Alyssa Golden
• Brent Gonda, DO
• Richard L Gooch, DDS
• Susanna Goodell-Fields

• Women's Health Nurse Practitioner in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Women's Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.