Judith Lou Gill, BSN

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

4704144697 Issued in MI

Practice address

1001 E Beltline Ave NE
Grand Rapids, MI 49525-5803

Phone

(616) 222-1441

Fax

(616) 222-1541

NPI assigned

May 19, 2009

Sex

Female

Sole proprietor

No

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

Bachelor on Science - Nursing

State licenses

Practice roles

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.

• Cornerstone University Health Services

  • Student Health Clinic/Center
  • Grand Rapids, MI
  • NPI 1033267885
  NPD (past)

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1992930093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495255803",
            "telephone_number": "616-222-1441",
            "fax_number": "616-222-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495255803",
            "telephone_number": "616-222-1441",
            "fax_number": "616-222-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "JUDITH",
        "middle_name": "LOU",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "MI",
            "license": "4704144697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dejuana Giles
• Janice T Giles, PHARMD
• Kevin M Giles, MD
• Lizabeth Shannon Giles, DO
• Deneisha Mai Gilkey
• Kara Gabrielle Gill, M.D.
• Hailey Elizabeth Gillam, MA, BCBA, LBA
• Erin Kristen Gillard
• Michael John Gillen, M.S.W.
• Jospeh Gillengerten

• College Health Registered Nurse in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• College Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.