Audrey S Gilliam, MSN, APRN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0999108-NP Issued in CO

Practice address

9362 Grand Cordera Pkwy Ste 205
Colorado Springs, CO 80924-7014

Phone

(719) 719-1233

Fax

(833) 428-4409

NPI assigned

Jan 27, 2020

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

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: audrey.gilliam.1@32412.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Bee Well Pediatrics PLLC

  • Pediatric Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1043033814

  Pediatrics

  NPD Authorized official
• Margot a. Williams, D.O., P.C.

  • Pediatrics Physician
  • Colorado Springs, CO
  • NPI 1194956292
  NPD (past)
• Shine Pediatrics and Wellness Center P.a.

  • Pediatrics Physician
  • Richardson, TX
  • NPI 1609110832
  NPD (past)

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1942831201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W HIGHWAY 105 # 256",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329125",
            "telephone_number": "719-719-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9362 GRAND CORDERA PKWY STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247014",
            "telephone_number": "719-719-1233",
            "fax_number": "833-428-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "AUDREY",
        "middle_name": "S",
        "credential": "MSN, APRN, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "0999108-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurion Gillette
• Lorraine Taylor Gilley, FNP-C
• Gillham Chiropractic LLC
• Mariel Gillham, M. D.
• William M Gillham, D.C.
• Julie Gilliam, MA, CCC-SLP
• Lynne Gillick, PH.D.
• Carrie Gillies
• Jason R Gillies, D.C.
• Courtney Gillis

• Pediatric Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.