MRS. DARIE S. GILLIAM (NPI# 1174526883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174526883 |
| Entity Type | Individual |
| Full Name | MRS. DARIE S. GILLIAM |
| Credential | FNP-C |
| Practice Address |
11990 Jackson St Clinton LA 70722-3210 |
| Mailing Address |
Po Box 395 Clinton LA 70722-0395 |
| Practice Telephone | 2256835292 |
| Practice Fax Number | 2256833411 |
| Mailing Telephone | 2256835292 |
| Mailing Fax Number | 2256833411 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2012-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
84714-2755 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1534935 | 05 | |
| LA | DEA | MG0827735 | 01 |
| LA | 1653047 | 05 |
| Street Address |
11990 JACKSON ST |
| City | CLINTON |
| State | LA |
| Zip Code | 70722-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566181 | Katie A Camp | Nurse Practitioner | 11990 Jackson St, Clinton, LA 70722-3210 | 2020-10-23 |
| 1326669698 | Sarah Hooge | Registered Nurse | 11990 Jackson St, Clinton, LA 70722-3210 | 2020-04-28 |
| 1710519145 | Michael Joseph Miller IIi | Nurse Practitioner | 11990 Jackson St, Clinton, LA 70722-3210 | 2020-02-04 |
| 1164052320 | Tracy George | Registered Nurse | 11990 Jackson St, Clinton, LA 70722-3210 | 2020-01-16 |
| 1528606753 | Johnette Hicks Kay | Registered Nurse | 11990 Jackson St, Clinton, LA 70722-3210 | 2019-12-18 |
| 1548806045 | Sunne Lee Pace | Registered Nurse | 11990 Jackson St, Clinton, LA 70722-3210 | 2019-11-20 |
| 1841848041 | Terry Square | Registered Nurse | 11990 Jackson St, Clinton, LA 70722-3210 | 2019-08-30 |
| 1437703717 | Colleen Lemire Sanders | Registered Nurse | 11990 Jackson St, Clinton, LA 70722-3210 | 2019-07-25 |
| 1710530233 | Jan Toler | Registered Nurse | 11990 Jackson St, Clinton, LA 70722-3210 | 2019-07-23 |
| 1841843356 | Anastasia Wynn | Registered Nurse | 11990 Jackson St, Clinton, LA 70722-3210 | 2019-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400025 | Just Health | Clinic/Center | 11315 Bank St, Clinton, LA 70722 | 2020-06-02 |
| 1609495464 | Just Health | Clinic/Center | 11312 Spring St, Clinton, LA 70722 | 2020-04-13 |
| 1023660248 | Visions Therapeutic Family Services | Counselor | 11504 Liberty Road, Clinton, LA 70722 | 2019-07-09 |
| 1497282743 | Sharon Vessel | Counselor | 10105 Plank Road Suite A, Clinton, LA 70722 | 2017-05-17 |
| 1417409152 | Ursula Shaw | Community/Behavioral Health | 10105 Plank Rd. Ste A, Clinton, LA 70722 | 2016-10-28 |
| 1235483777 | Excel Health Systems LLC | Durable Medical Equipment & Medical Supplies | 10735 Roosevelt Street, Clinton, LA 70722 | 2012-11-06 |
| 1053618413 | Lisa Hawkins Sorrel | Nurse Practitioner | 11323 Church St, Clinton, LA 70722 | 2011-02-22 |
| 1396063426 | Tony Edward Matthews Jr. | Technician | 11406 Spring Street, Clinton, LA 70722 | 2010-05-13 |
| 1144466061 | Lashica Cheronda Hilliard | Registered Nurse | 11990 Jackson St., Clinton, LA 70722 | 2008-12-23 |
| 1992951297 | Primary Care Providers for A Healthy Feliciana, Inc. | Clinic/Center | 10410 Plank Road, Clinton, LA 70722 | 2008-08-18 |
| Find all providers in zip 70722 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463300 | Sheryl Punzal Deguzman-buenaventura | Nurse Practitioner | 12410 Hillantrae Dr, Clinton, MD 20735-6510 | 2020-09-25 |
| 1003426396 | Rollie Stewart Walker | Nurse Practitioner | 114 Riverview Dr, Clinton, OK 73601-1805 | 2020-08-03 |
| 1316585813 | Sherkeysha Henderson | Nurse Practitioner | 106 Rosalie Ct, Clinton, MS 39056-6053 | 2019-12-16 |
| 1528600707 | Allison Maddox | Nurse Practitioner | 7506 Abelia Dr, Clinton, MD 20735-3135 | 2019-10-09 |
| 1205486347 | Elizabeth Oti | Nurse Practitioner | 313 Park Edge Dr, Clinton, PA 15026-1785 | 2019-09-19 |
| 1326609074 | Lauren Blakley | Nurse Practitioner | 2130 N Charles G Seivers Blvd Ste 3, Clinton, TN 37716-6705 | 2019-06-24 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1205490380 | Cynthia Diane Saylors | Nurse Practitioner | 64 Somerset Dr, Clinton, IL 61727-2478 | 2019-04-24 |
| 1720546864 | Lesley Brooke Keith | Nurse Practitioner | 422 Highway 95 E, Clinton, AR 72031-6947 | 2019-03-07 |
| 1578020822 | Caroline V Green | Nurse Practitioner | 768 Cherry Stone Dr, Clinton, MS 39056-2015 | 2019-02-22 |
| Find all providers in CLINTON | ||||
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| 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.