Tina Gilliam
Individual provider Active NPI Community Health Worker · Sandy Hook, KY
NPI 1861064909 · NPPES record last updated Jul 16, 2021
Key facts
- NPI
- 1861064909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 374 N Ky 7
Sandy Hook, KY 41171-7938 - Phone
- (606) 738-6163
- NPI assigned
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
374 N Ky 7
Sandy Hook, KY 41171-7938
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other providers in Sandy Hook, KY
- Elliott County Schools
- Elliott Nursing and Rehabilitation LLC
- Sally A Ferguson
- Rebecca L Fulks
- Gateway District Health Department
- Morganne Danielle Harper
- Twana J Hatton
- Healing Hearts and Minds
- Healthy Way Pharmacy Inc
- Jessica Howell
All providers in Sandy Hook, KY · Community Health Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.