TAMMY BURRELL GILLIAM (NPI# 1982261343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982261343 |
| Entity Type | Individual |
| Full Name | TAMMY BURRELL GILLIAM |
| Practice Address |
16385 W Mckinley St Goodyear AZ 85338-6277 |
| Practice Telephone | 2566171867 |
| Mailing Telephone | 2566171867 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA11664 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
16385 W MCKINLEY ST |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-6277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033722681 | Daisy Inzunza | Specialist/Technologist | 15869 W Diamond St, Goodyear, AZ 85338-4143 | 2020-08-24 |
| 1679037485 | Kaitlyn Ruff | Specialist/Technologist | 2775 N 144th Dr, Goodyear, AZ 85395-2045 | 2019-01-25 |
| 1801373121 | Rachel Faust Tuura | Specialist/Technologist | 14546 W Sheridan St, Goodyear, AZ 85395-2028 | 2018-07-20 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1821505140 | Kori Ann King | Specialist/Technologist | 18107 W Dunlap Rd, Goodyear, AZ 85338-5915 | 2018-01-09 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1912437591 | Rebecca Cook | Specialist/Technologist | 4236 N 186th Ave, Goodyear, AZ 85395-6486 | 2017-06-15 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1821542457 | Alyssa Gaitan | Specialist/Technologist | 15902 W Wilshire Dr, Goodyear, AZ 85395-7606 | 2016-08-11 |
| 1083080402 | Kammy Kaleen Brown | Specialist/Technologist | 14317 W Amelia Ave, Goodyear, AZ 85395-8444 | 2015-08-19 |
| Find all providers in GOODYEAR | ||||
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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.