Active NPI
Gilead Health Services LLC
- Family Nurse Practitioner
- Lutherville Timonium, MD
National Provider Identifier
1871162727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- GILEAD HEALTH SERVICES LLC
- Practice address
- 22 W Padonia Rd Ste C252
Lutherville Timonium, MD 21093-2241 - Phone
- (410) 989-1944
- Fax
- (570) 507-8268
- NPI assigned
- Jun 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Promise C Allan, MSN, CRNP-FAMILY
- Title
- Owner of Entity
- Phone
- (410) 898-1944
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
22 W Padonia Rd Ste C252
Lutherville Timonium, MD 21093-2241
Mailing address
9722 Groffs Mill Dr
Owings Mills, MD 21117-6341
Phone (410) 989-1944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Gilead Health Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lutherville Timonium, MD
- NPI 1699690453
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624406400000",
"number": "1871162727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9722 GROFFS MILL DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211176341",
"telephone_number": "410-989-1944",
"fax_number": "570-507-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 W PADONIA RD STE C252",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210932241",
"telephone_number": "410-989-1944",
"fax_number": "570-507-8268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILEAD HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A",
"authorized_official_last_name": "ALLAN",
"authorized_official_first_name": "PROMISE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER OF ENTITY",
"authorized_official_telephone_number": "410-898-1944",
"authorized_official_credential": "MSN, CRNP-FAMILY"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutherville Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.