Kelly Gilliland, D.O.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

P2651 Issued in TX

Practice address

12357 A Riata Trace Pkwy, BLDG 5, Ste 100
Thyroid Cytopathology Partners
Austin, TX 78727

Phone

(512) 814-0298

Fax

(512) 597-2713

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1699980490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2386",
            "address_2": "THYROID CYTOPATHOLOGY PARTNERS",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786802386",
            "telephone_number": "512-888-1661",
            "fax_number": "512-597-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12357 A RIATA TRACE PKWY, BLDG 5, STE 100",
            "address_2": "THYROID CYTOPATHOLOGY PARTNERS",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78727",
            "telephone_number": "512-814-0298",
            "fax_number": "512-597-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAND",
        "first_name": "KELLY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "TX",
            "license": "P2651",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "UO1653",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "P2651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tess Gillespie, LMSW
• Landon Paul Gillett, DDS
• Dee Gilley, IBCLC
• Ashlea Gillick, CNP
• Alison Claire Gillies, MS, CCC/SLP
• Laura Gillingham
• Kimberly Gillis, M.ED, BCBA
• Debra Gilluly, ACNS
• Abigail Gilmore, AGACNP-BC
• Lauren Jane Gilmore

• Anatomic Pathology & Clinical Pathology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.