Active NPI
Lucille Gillard
- Health Educator
- Midway Park, NC
National Provider Identifier
1770133712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 464 White Oak LN
Midway Park, NC 28544-1239 - Phone
- (910) 333-5229
- NPI assigned
- Sep 11, 2019
- Last updated
- Sep 11, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
464 White Oak LN
Midway Park, NC 28544-1239
Mailing address
464 White Oak LN
Midway Park, NC 28544
Phone (910) 333-5229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8MG3HK1NE87 | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1770133712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 WHITE OAK LN",
"city": "MIDWAY PARK",
"state": "NC",
"postal_code": "28544",
"telephone_number": "910-333-5229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 WHITE OAK LN",
"city": "MIDWAY PARK",
"state": "NC",
"postal_code": "285441239",
"telephone_number": "910-333-5229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLARD",
"first_name": "LUCILLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8MG3HK1NE87",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midway Park, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.