REBECCA R. GILLIAM (NPI# 1255735999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255735999 |
Entity Type | Individual |
Full Name | REBECCA R. GILLIAM |
Credential | AGACNP-BC |
Practice Address |
731 Carnoustie Dr Ste 102 San Antonio TX 78258-4800 |
Mailing Address |
7142 San Pedro Ave Ste 102 San Antonio TX 78216-6255 |
Practice Telephone | 2104958280 |
Practice Fax Number | 2104813116 |
Mailing Telephone | 2106615622 |
Mailing Fax Number | 2104813116 |
Enumeration Date | 2014-10-09 |
Last Update Date | 2014-10-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP126539 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669545059 | Rebecca Conrad Gilliam | Chiropractor | 31 Pelham Hill Rd, Shutesbury, MA 01072-9702 | 2006-11-16 |
1821560269 | Rebecca Gilliam | Case Manager/Care Coordinator | 8921 Mansfield Rd, Shreveport, LA 71118-2144 | 2018-12-26 |
Street Address |
731 CARNOUSTIE DR STE 102 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78258-4800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346205648 | Matthew E. Schaefer | Internal Medicine | 731 Carnoustie Dr Ste 102, San Antonio, TX 78258-4800 | 2006-04-19 |
1467099796 | Amanda M Day | Registered Nurse | 731 Carnoustie Dr Ste 102, San Antonio, TX 78258-4800 | 2019-12-05 |
1013221274 | Hector Javier Diaz Rodriguez | Internal Medicine | 731 Carnoustie Dr Ste 102, San Antonio, TX 78258-4800 | 2010-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
Find all providers in zip 78258 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003334558 | Lori Lynn Miebach | Nurse Practitioner | 405 County Road 3820, San Antonio, TX 78253-6903 | 2017-09-05 |
1376996819 | April Sohee Toscano | Nurse Practitioner | 1200 Brooklyn Ave Ste 350, San Antonio, TX 78212-4817 | 2016-07-20 |
1245500230 | Jenny Davis | Nurse Practitioner | 419 Country Ln, San Antonio, TX 78209-2320 | 2012-01-06 |
1700199429 | Christina Elsa Ramsey | Nurse Practitioner | 4539 Barnard Ml, San Antonio, TX 78247-5947 | 2010-07-22 |
1649387630 | Ughanmwan Efeovbokhan | Nurse Practitioner | 5309 Wurzbach Rd Ste 200-9, San Antonio, TX 78238-2444 | 2006-08-24 |
1689665887 | Gail Lynn Beaver | Nurse Practitioner | 7541 Us Highway 87, E, Suite #1, San Antonio, TX 78263-2407 | 2005-11-04 |
1689676090 | Sarah Louise Booth | Nurse Practitioner | 516 Lexington Ave, San Antonio, TX 78215-1930 | 2005-08-15 |
1427607696 | Rukevwe Theodora Agho | Nurse Practitioner | 2833 Babcock Rd, San Antonio, TX 78229-5390 | 2019-09-10 |
1376008276 | Greta Mills Mann | Nurse Practitioner | 5253 Prue Rd Ste 315c, San Antonio, TX 78240-1758 | 2019-02-05 |
1578032447 | Arch Complete Health, Pllc | Nurse Practitioner | 3303 Rogers Rd Ste 205, San Antonio, TX 78251-3687 | 2018-11-20 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78258 |
Please comment or provide details below to improve the information on REBECCA R. GILLIAM.
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.