MRS. TERRI DEJUANA GILLIAM (NPI# 1255958047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255958047 |
| Entity Type | Individual |
| Full Name | MRS. TERRI DEJUANA GILLIAM |
| Practice Address |
23 Northcutt Dr Hampton VA 23664-1179 |
| Practice Telephone | 7572734649 |
| Mailing Telephone | 7572734649 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024178455 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265523195 | Terri Gilliam | Dentist | 817 Federal Street, Camden, NJ 08103 | 2006-09-27 |
| Street Address |
23 NORTHCUTT DR |
| City | HAMPTON |
| State | VA |
| Zip Code | 23664-1179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030920 | Living A Blessed Life Home Health Care | Home Health | 364 N First Street, Hampton, VA 23664 | 2019-06-03 |
| 1518217959 | Nicholas J Kenney | Behavioral Analyst | 15 Seaview Dr, Hampton, VA 23664-1027 | 2012-09-13 |
| 1538496625 | Suzanne Claire Loughman | Counselor | 151 Atlantic Ave, Suite C, Hampton, VA 23664-1087 | 2009-11-10 |
| 1669855011 | David Miller | Dentist | 131 Atlantic Ave, Unit B, Hampton, VA 23664-1095 | 2015-07-02 |
| 1437314754 | Wormill Inc. | Durable Medical Equipment & Medical Supplies | 2002 E Pembroke Ave, Hampton, VA 23664-1111 | 2008-07-25 |
| 1467920710 | Maria Lana Rudd | Respiratory Therapist, Registered | 2122 E Pembroke Ave, Hampton, VA 23664-1113 | 2018-11-05 |
| 1982152765 | Ardelia Williams | Case Manager/Care Coordinator | 2502 E Pembroke Ave, Hampton, VA 23664-1246 | 2016-09-21 |
| 1922557164 | Debra La Salvia | Case Manager/Care Coordinator | 2502 E Pembroke Ave, Hampton, VA 23664-1246 | 2016-09-29 |
| 1134530157 | Victoria Stutts | Dietitian, Registered | 2610 E Pembroke Ave, Hampton, VA 23664-1248 | 2014-05-13 |
| 1942261466 | Michelle Tonia Wise | Registered Nurse | 240 S Second St, Hampton, VA 23664-1407 | 2006-04-01 |
| Find all providers in zip 23664 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967960 | Nicole Andrea Crawford | Nurse Practitioner | 1131 Misty Meadows Xing, Hampton, GA 30228-6191 | 2020-09-20 |
| 1679196166 | Mutinta Matimba Hamuwele | Nurse Practitioner | 10988 Genova Ter, Hampton, GA 30228 | 2020-05-19 |
| 1225669138 | Ingrid J Ortiz | Nurse Practitioner | 4000 Coliseum Dr Ste 300, Hampton, VA 23666-5974 | 2020-01-29 |
| 1184195562 | Sharee Lashell Stowes | Nurse Practitioner | 915 Gloucester St, Hampton, VA 23661-2203 | 2018-12-11 |
| 1841767035 | Jasmine Macheryl Webb | Nurse Practitioner | 1146 Oak Hollow Ct, Hampton, GA 30228-5571 | 2018-10-26 |
| 1760966337 | Misty Spencer | Nurse Practitioner | 11850 Hastings Bridge Rd, Hampton, GA 30228-6276 | 2018-09-19 |
| 1598246878 | Emma Ledbetter | Nurse Practitioner | 1910 Elm Park Dr, Hampton, GA 30228 | 2018-08-24 |
| 1588155055 | Premium Care Health, LLC | Nurse Practitioner | 1684 Thorn Ridge Trl, Hampton, GA 30228-6129 | 2018-05-21 |
| 1588103782 | Diverse Healthcare Inc | Nurse Practitioner | 509 Wine St, Hampton, VA 23669-3162 | 2017-02-21 |
| 1770959504 | Melissa Ann Duncan | Nurse Practitioner | 622 13th Ave, Hampton, IL 61256-9611 | 2015-08-16 |
| Find all providers in HAMPTON | ||||
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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.