MRS. LAUREN NICOLE GILLIS (NPI# 1053545681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053545681 |
| Entity Type | Individual |
| Full Name | MRS. LAUREN NICOLE GILLIS |
| Credential | ANP-BC |
| Practice Address |
940 General Booth Blvd Virginia Beach VA 23451-4857 |
| Practice Telephone | 7574253610 |
| Mailing Telephone | 7574253610 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024168262 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184856858 | Lauren Gillis | Counselor | 2200 Premier Resort Blvd Unit C, North Myrtle Beach, SC 29582-9203 | 2009-08-14 |
| Street Address |
940 GENERAL BOOTH BLVD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23451-4857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306814173 | Pauline Carvella Reed | Family Medicine | 940 General Booth Blvd, Suite A, Virginia Beach, VA 23451-4857 | 2006-03-09 |
| 1104374693 | Sara Deatherage | Registered Nurse | 940 General Booth Blvd, Virginia Beach, VA 23451-4861 | 2016-09-14 |
| 1396117180 | Kaylie Elizabeth Wren | Physician Assistant | 940 General Booth Blvd, Virginia Beach, VA 23451-4861 | 2015-10-20 |
| 1417385931 | Holley Family Dentistry of Virginia Beach | Dentist | 940 General Booth Blvd, Suite C, Virginia Beach, VA 23451 | 2013-10-18 |
| 1851723894 | Tiffany M Griffin | Physician Assistant | 940 General Booth Blvd, Suite A, Virginia Beach, VA 23451-4861 | 2013-08-01 |
| 1902050875 | Peninsula Institute for Community Health Inc | Clinic/Center | 940 General Booth Blvd, Suite A, Virginia Beach, VA 23451-4857 | 2008-11-05 |
| 1598808883 | Carter L Richards | Dentist | 940 General Booth Blvd, Suite #c, Virginia Beach, VA 23451-4857 | 2007-02-15 |
| 1922117142 | Andrei San-marina | Internal Medicine | 940 General Booth Blvd, Virginia Beach, VA 23451-4861 | 2006-08-30 |
| 1982633640 | Donald L Cochran | Family Medicine | 940 General Booth Blvd, Virginia Beach, VA 23451-4861 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1851864094 | Erica Genevieve Johns | Counselor | 253 C Street, Camp Pendleton, Virginia Beach, VA 23451 | 2019-01-10 |
| 1407327729 | Crystal Michelle Larios | Physical Therapy Assistant | Westminster Canterbury, Virginia Beach, VA 23451 | 2018-12-14 |
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1356844427 | Kristina Maria Matthews | Nurse's Aide | 1206 Laskin Road, Suite 140-g, Virginia Beach, VA 23451 | 2018-03-14 |
| 1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
| 1740782291 | Sherree Weeks | Speech-Language Pathologist | 1413 Laskin Rd., Va. Beach, VA 23451 | 2018-03-01 |
| 1649709007 | Christine Herslow | Registered Nurse | 2200 Elder Road, Virginia Beach, VA 23451 | 2017-06-08 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1306182795 | John Leroy Stacy Jr. | Counselor | 409 Birdneck Cir, Virginia Beach, VA 23451 | 2012-12-12 |
| Find all providers in zip 23451 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437648086 | Restoration Behavioral Health Services | Nurse Practitioner | 615 N Birdneck Rd Ste 109, Virginia Beach, VA 23451-6368 | 2018-05-08 |
| 1619408994 | Regina Smith | Nurse Practitioner | 5320 Providence Rd Ste 301-101, Virginia Beach, VA 23464-4122 | 2017-03-27 |
| 1124576111 | Alison Lopez | Nurse Practitioner | 4140 Starwood Arch, Virginia Beach, VA 23456-4945 | 2016-09-19 |
| 1366627234 | Ruby Turner Haynes | Nurse Practitioner | 2424 Colony Dr, Virginia Beach, VA 23453-3602 | 2008-01-09 |
| 1104464551 | Carrie Marie Thomas | Nurse Practitioner | 1200 Atlantic Shores Dr, Virginia Beach, VA 23454-7311 | 2019-12-17 |
| 1841702107 | Deanna Lynn Kline | Nurse Practitioner | 4660 Haygood Rd, Virginia Beach, VA 23455-5436 | 2017-10-26 |
| 1043609647 | Patricia Anne Duff | Nurse Practitioner | 3100 Shore Dr, Virginia Beach, VA 23451-1199 | 2015-01-20 |
| 1508188608 | Angela Auring Rivera | Nurse Practitioner | 5716 Cleveland St Ste 200, Virginia Beach, VA 23462-1784 | 2010-02-17 |
| 1093736464 | Kathryn Marie Klump | Nurse Practitioner | 1101 First Colonial Rd, Suite 300, Virginia Beach, VA 23454-2409 | 2006-07-21 |
| 1346203270 | Lynn Omalley | Nurse Practitioner | 297 Independence Blvd, Suite 126, Virginia Beach, VA 23462-2911 | 2006-04-11 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23451 |
Please comment or provide details below to improve the information on MRS. LAUREN NICOLE GILLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.