SARA N GILLIS (NPI# 1508860289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508860289 |
| Entity Type | Individual |
| Full Name | SARA N GILLIS |
| Credential | CPNP |
| Practice Address |
21 Highland Ave Se Ste 100 Roanoke VA 24013-2218 |
| Practice Telephone | 5403449213 |
| Practice Fax Number | 5403457559 |
| Mailing Telephone | 5403449213 |
| Mailing Fax Number | 5403457559 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0001137848 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | JOHN DEERE | 54088505612 | 01 |
| VA | AETNA | 5657671 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871835033 | Sara Gillis | Counselor | 332 W Superior St, 300, Duluth, MN 55802-1808 | 2013-03-26 |
| 1649342486 | Sara Gillis | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2006-11-15 |
| Street Address |
21 HIGHLAND AVE SE STE 100 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819574 | Robert C Gard | Pediatrics | 21 Highland Ave Se, Ste 100, Roanoke, VA 24013-2218 | 2005-05-27 |
| 1063752616 | Brittany Cook Kane | Obstetrics & Gynecology | 21 Highland Ave Se, Roanoke, VA 24013-2201 | 2013-02-19 |
| 1013261064 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 21 Highland Ave Se, Suite 200, Roanoke, VA 24013-2201 | 2012-10-30 |
| 1265701999 | Mary Jane Witter | Pediatrics | 21 Highland Ave Se, Suite 100, Roanoke, VA 24013-2201 | 2011-12-27 |
| 1528201506 | Margaret Ann Grove | Obstetrics & Gynecology | 21 Highland Ave Se, Suite 200, Roanoke, VA 24013-2201 | 2009-04-07 |
| 1467620773 | Roanoke Breast Care, Inc | Radiology | 21 Highland Ave Se, Ste 200, Roanoke, VA 24013-2201 | 2008-02-20 |
| 1558540062 | Jamie L Buck | Obstetrics & Gynecology | 21 Highland Ave Se, Suite 200, Roanoke, VA 24013-2201 | 2007-10-31 |
| 1750412060 | Daphne Elizabeth Damen | Nurse Practitioner | 21 Highland Ave Se, Suite 100, Roanoke, VA 24013-2201 | 2007-03-08 |
| 1598827263 | Melissa Parcher Perler | Midwife | 21 Highland Ave Se, Suite 200, Roanoke, VA 24013-2201 | 2006-12-15 |
| 1679651715 | Physicians To Women, Inc. | Obstetrics & Gynecology | 21 Highland Ave Se, Suite 200, Roanoke, VA 24013-2201 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
| 1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
| 1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
| 1801251806 | Emily Lawson Bennett | Nurse Practitioner | 101 Elm Ave Se, Roanoke, VA 24013 | 2015-12-18 |
| 1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
| 1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
| Find all providers in zip 24013 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861783946 | Ryleigh Rebecca Young Smith | Nurse Practitioner | 102 Highland Ave Se Ste 104, Roanoke, VA 24013-2255 | 2011-04-25 |
| 1992868657 | Pamela Ann Ruppel | Nurse Practitioner | 4800 Pleasant Hill Dr Ste 102, Roanoke, VA 24018-3406 | 2006-12-17 |
| 1285709956 | Carol A Huffman | Nurse Practitioner | 1201 3rd St Sw, Roanoke, VA 24016-4611 | 2006-11-21 |
| 1063433357 | Rebekah S Slocum | Nurse Practitioner | 1101 1st St Sw, Roanoke, VA 24016-4701 | 2006-07-21 |
| 1033751383 | Hannah B Smith | Nurse Practitioner | 1030 S Jefferson St Ste 106, Roanoke, VA 24016-4418 | 2019-10-08 |
| 1932665544 | Amy Marshall | Nurse Practitioner | 3 Riverside Cir, Roanoke, VA 24016 | 2019-02-19 |
| 1265921274 | Katherine Martin Shelor | Nurse Practitioner | 102 Highland Ave Se Ste 104, Roanoke, VA 24013-2255 | 2018-05-04 |
| 1649722562 | Mary Riley | Nurse Practitioner | 1030 S Jefferson St Ste 201, Roanoke, VA 24016-4418 | 2016-10-26 |
| 1093262164 | Whitney Wilkes | Nurse Practitioner | 102 Highland Ave Se Ste 404, Roanoke, VA 24013-2232 | 2016-09-07 |
| 1144560830 | Sarah F Shepherd | Nurse Practitioner | 1030 S Jefferson St Ste 201, Roanoke, VA 24016-4418 | 2013-02-18 |
| Find all providers in ROANOKE | ||||
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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.