Individual provider Active NPI

Sheila Swan Gillgrass, RN ASN

  • Home Health Registered Nurse
  • Placerville, CA
National Provider Identifier
1760501894
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN680784 Issued in CA
Practice address
2973 Lawyer Dr
Placerville, CA 95667-9058
Phone
(513) 837-2393
NPI assigned
Mar 28, 2007
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN680784 CA Primary

Addresses

Primary practice location

2973 Lawyer Dr
Placerville, CA 95667-9058

Mailing address

2973 Lawyer Dr
Placerville, CA 95667-9058
Phone (510) 837-2393

Other identifiers 2

IdentifierTypeStateIssuer
EPS016630MedicaidCA
RVN004780MedicaidCA

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN680784CAMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1760501894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 LAWYER DR",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956679058",
            "telephone_number": "510-837-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 LAWYER DR",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956679058",
            "telephone_number": "513-837-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLGRASS",
        "first_name": "SHEILA",
        "middle_name": "SWAN",
        "credential": "RN ASN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "RN680784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EPS016630",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RVN004780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.