Active NPI
Kyria Gilliam
- Specialist
- Rochester, NY
National Provider Identifier
1881363596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1182 Dewey Ave
Rochester, NY 14613-1321 - Phone
- (585) 333-6937
- NPI assigned
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Primary |
Addresses
Primary practice location
1182 Dewey Ave
Rochester, NY 14613-1321
Mailing address
1182 Dewey Ave
Rochester, NY 14613-1321
Phone (585) 333-6937
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/a |
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": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1881363596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 DEWEY AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146131321",
"telephone_number": "585-333-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1182 DEWEY AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146131321",
"telephone_number": "585-333-6937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "KYRIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2021-11-17",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/a",
"affiliation": "N",
"address_1": "51 Hamilton St",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146201108",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.