Individual provider Active NPI

Terry Lishone Gilyard, APRN

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1932703907
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010324 Issued in FL
Practice address
1455 Dunn Ave
Daytona Beach, FL 32114-5301
Phone
(386) 559-7498
Fax
(386) 698-2003
NPI assigned
Nov 30, 2020
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11010324 FL Primary

Addresses

Primary practice location

1455 Dunn Ave
Daytona Beach, FL 32114-5301

Mailing address

1455 Dunn Ave
Daytona Beach, FL 32114-0722
Phone (386) 323-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL personal Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210122002300 FL Practitioner - Nurse Practitioner 2769896331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Care IncorporatedGroup PAC ID 7214849520, 29 clinicians

Practice addresses (Care Compare)

1455 Dunn Ave
Daytona Beach, FL 32114-1437
Phone (386) 323-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11010324FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care Incorporated CurrentSince Jan 11, 2021 Accepting new patients
Rural Health Care, Inc. CurrentSince Jan 11, 2021 Accepting new patients

Locations

1425 Dunn Ave
Daytona Beach, FL 32114
Phone (386) 239-6198

1455 Dunn Ave
Daytona Beach, FL 32114
Phone (386) 239-6198

100 Commercial Dr
Keystone Hgts, FL 32656
Phone (352) 473-6595

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

Interoperability endpoints

  • Direct secure messaging: terry.gilyard.p1@direct.azahealth.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932703907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 DUNN AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321140722",
            "telephone_number": "386-323-9600",
            "fax_number": "386-323-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 DUNN AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145301",
            "telephone_number": "386-559-7498",
            "fax_number": "386-698-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILYARD",
        "first_name": "TERRY",
        "middle_name": "LISHONE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "personal",
            "affiliation": "N",
            "endpointDescription": "personal computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "187 Church Rd",
            "city": "Crescent City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321125301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.