Nancy Ann Gillilan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP02498 Issued in OH

Practice address

6001 E Broad St
Columbus, OH 43213-1502

Phone

(614) 234-9341

NPI assigned

May 9, 2008

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

Other names 1

• Nancy Ann Wagner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: ngillilan1147955@direct.trinity-health.org

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1700053766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PORTAGE COURT",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431102008",
            "telephone_number": "614-234-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131502",
            "telephone_number": "614-234-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAN",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN137999",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "OH",
            "license": "WAG104279395",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP02498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "WAGNER",
            "middle_name": "ANN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia Dondi Gilliam, LSW
• Sincerity Gilliam
• Stephanie Sue Gilliam, LPN
• Richard Terrance Gilliard
• Toya Gilliard
• Max Franklin Gilliland, MD
• Michael P Gilliland, O.D.
• Payton Alyn Gilliland
• Alden Jane Gilliom, APRN
• Jennifer Paige Gillis, LPN

• Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.