Shawna Jean Gillen

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

660 S 200 E Ste 308
Salt Lake City, UT 84111-3853

Phone

(801) 355-2086

Fax

(801) 359-3244

NPI assigned

Dec 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1922301183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 DIMAGGIO DR",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749297",
            "telephone_number": "801-355-2846",
            "fax_number": "801-359-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S 200 E STE 308",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113853",
            "telephone_number": "801-355-2086",
            "fax_number": "801-359-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "SHAWNA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Gill
• Shibl Gill
• Anna Gillan
• Jacquelyn Gillaspy
• Ashlyn Gillen
• Andrea Gayle Gillespie, MOT, OTR/L
• Austin Gillespie
• Bonnie Larue Gillespie
• Abby Gillett
• Laura Gilley Hensley, MD

• Community/Behavioral Health Agency in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.