LINDA GILLIS (NPI# 1245770742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245770742 |
| Entity Type | Individual |
| Full Name | LINDA GILLIS |
| Practice Address |
143 Portada Dr St Augustine FL 32095-1634 |
| Practice Telephone | 9048917342 |
| Mailing Telephone | 9048917342 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9342157 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
143 PORTADA DR |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32095-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124299201 | Dental Health Group PC | Dentist | 159 Palencia Village Drive, Ste 109, St. Augustine, FL 32095 | 2008-03-18 |
| 1932259405 | Thomas E Stakem | Dentist | 7175-01 U.S. Highway 17 South, Green Cove Springs, FL 32095 | 2007-01-10 |
| 1942390265 | Antonia Fuller | Registered Nurse | 354 Paseo Reyes Drive, Saint Augustine, FL 32095 | 2006-10-15 |
| 1740223023 | First Choice Phcy Svcs LLC | Pharmacy | 110 Cumberland Dr #305, St Augustine, FL 32095 | 2006-06-14 |
| 1174029201 | Aba Connection, LLC | Early Intervention Provider Agency | 23 Sol Ct, St Augustine, FL 32095 | 2018-04-05 |
| 1457437584 | Stanley A Cohen | Psychiatry & Neurology | 354 Paseo Reyes Drive, St Augustine, FL 32095 | 2006-10-31 |
| 1548576150 | Vicki Glabb | Counselor | 260 Ash Breeze Cv, Saint Augustine, FL 32095-0045 | 2010-08-20 |
| 1659821767 | Margo Slovis | Physical Therapist | 244 Vale Dr, St Augustine, FL 32095-4832 | 2016-10-12 |
| 1851909360 | Mammography Partners LLC | Clinic/Center | 521 Costa Del Sol Dr, St Augustine, FL 32095-4868 | 2020-07-21 |
| 1528562543 | Predrag Bulic | Pathology | 4501 Avenue A, St Augustine, FL 32095-5206 | 2018-03-23 |
| Find all providers in zip 32095 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948871 | Rachel Annette Tax | Nurse Practitioner | 325 Sunset Dr, St Augustine, FL 32080-9101 | 2020-10-07 |
| 1386260354 | Kristina Marie Hanlon | Nurse Practitioner | 119 Old Field Ln, St Augustine, FL 32092-1928 | 2020-06-24 |
| 1356977888 | Carol Christine Sickels | Nurse Practitioner | 206 Circle Dr E, St Augustine, FL 32084-0868 | 2020-03-16 |
| 1518501832 | Amanda Allen | Nurse Practitioner | 6936 Cypress Spring Ct, St Augustine, FL 32086-4818 | 2019-10-30 |
| 1023576360 | Folasade Sanusi Olushola | Nurse Practitioner | 2604 Torino Way, St Augustine, FL 32092-4784 | 2019-03-06 |
| 1326502600 | Ashley Fisher Roussell | Nurse Practitioner | 2720 Us Highway 1 S Ste B, St Augustine, FL 32086-6371 | 2019-01-30 |
| 1336658103 | Nena Sheryl Morden | Nurse Practitioner | 100 Whetstone Pl Ste 205, St Augustine, FL 32086-5775 | 2017-09-25 |
| 1457779316 | Candace Smith | Nurse Practitioner | 2513 Otter Totem Ct, St Augustine, FL 32092-2445 | 2014-03-28 |
| 1720328321 | Sharon Lynn Steinmetz | Nurse Practitioner | 6170 A1a S Unit 304, St Augustine, FL 32080-7537 | 2013-02-20 |
| 1881958783 | Holly Beth Doucette | Nurse Practitioner | 74 King St, Health Services, St Augustine, FL 32084-4342 | 2012-06-26 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32095 |
Please comment or provide details below to improve the information on LINDA 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.