MS. ANGELINE M GILLIAM


Address: 125 E Maxwell St, Lexington, KY 40508
Phone: 8592788772

MS. ANGELINE M GILLIAM (NPI# 1477508943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477508943
Entity Type Individual
Full Name MS. ANGELINE M GILLIAM
Credential CNS
Practice Address 125 E Maxwell St
Lexington
KY 40508
Mailing Address P P Box 23823
Lexington
KY 40523
Practice Telephone 8592788772
Practice Fax Number 8594224359
Mailing Telephone 8592788772
Mailing Fax Number 8594224359
Enumeration Date 2006-05-23
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
1041495 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 30615058 05

Office Location

Street Address 125 E MAXWELL ST
City LEXINGTON
State KY
Zip Code 40508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982694139 Emily W Cunningham Obstetrics & Gynecology 125 E Maxwell St, Suite 140, Lexington, KY 40508-2678 2005-10-27
1932598729 Kate Harris Nurse Practitioner 125 E Maxwell St, Lexington, KY 40508-2678 2015-01-15
1417386004 Kirtrica Campbell Cornelius Nurse Practitioner 125 E Maxwell St, Suite 200, Lexington, KY 40508-2678 2013-11-05
1144585233 Luis Francisco Hidalgo Ponce Internal Medicine 125 E Maxwell St, Lexington, KY 40508 2012-07-05
1366608499 Steven Randolph Waldman Specialist 125 E Maxwell St, Suite 303, Lexington, KY 40508-2678 2008-07-29
1790974061 Jeffrey Wright Parr Orthopaedic Surgery 125 E Maxwell St, Suite 202, Lexington, KY 40508-2678 2007-10-23
1154519668 University of Kentucky Hospital Internal Medicine 125 E Maxwell St, Suite 100, Lexington, KY 40508-2678 2007-10-10
1235337429 Sara Simms Meegan Nurse Practitioner 125 E Maxwell St, Suite 201, Lexington, KY 40508-2678 2007-07-10
1003033705 Glen W Simons, M.d., P.s.c. Surgery 125 E Maxwell St, Suite 102, Lexington, KY 40508-2678 2007-04-20
1548307085 Waldman Plastic Surgery Center Specialist 125 E Maxwell St, Suite 303, Lexington, KY 40508-2678 2007-02-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265906192 Core Chiropractic and Family Wellness Pllc Clinic/Center 524 E.second St, Lexington, KY 40508 2019-01-14
1831669720 Lily Namegabe Community Health Worker 135 Newtown Pike Bldg 1, Lexington, KY 40508 2018-12-04
1669994091 Shawn Luchtefeld Counselor 289 W Loudon Ave, Lexington, KY 40508 2017-07-07
1861808271 Rucha Shukla Pediatrics 138 Leader Ave Rm 9a, Lexington, KY 40508 2014-07-07
1881012946 Peter Movilla Obstetrics & Gynecology Uk Women's Health Obstetrics and Gynecology, 125 E Maxwell St Ste 140, Lexington, KY 40508 2014-04-04
1255753422 Candace Cross Social Worker Kentucky Counseling Center, LLC, 1353 West Main Street, Kentucky, Lexington, KY 40508 2014-01-07
1467896845 Andrew Russell Roads Psychiatry & Neurology Uk University Health Service, 830 S Limestone, Lexington, KY 40508 2013-04-29
1104119890 Thomas Michael Isaacs Pharmacist 130 W. Loudon Ave, Lexington, KY 40508 2011-05-27
1174839401 Gerardo Manuel Heredia Melero Obstetrics & Gynecology Uk Obgyn, 125 E. Maxwell Street, Lexington, KY 40508 2010-08-24
1558512814 Cortney Youens Lee Surgery 125 E. Maxwell St, Suite 302, Lexington, KY 40508 2008-10-06
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235749581 Melissa K Young-flynn Nurse Practitioner 713 Millpond Rd, Lexington, KY 40514-1570 2020-08-02
1821612615 Hannah Olivia Robidoux Nurse Practitioner 109 Montelena Dr, Lexington, SC 29072-6911 2020-06-08
1831722115 Free To Be Mental Health Services, LLC Nurse Practitioner 2035 Regency Rd Ste 8, Lexington, KY 40503-2333 2020-02-15
1265075238 Colleen Turner Nurse Practitioner 3150 Custer Dr Ste 201, Lexington, KY 40517-4010 2019-10-23
1124672126 Sheila Young Steinbrenner Nurse Practitioner 238 Rosemont Gdn, Lexington, KY 40503-1845 2019-07-29
1194207910 Ljks Nurse Practitioner 1301 Winchester Rd Ste 147, Lexington, KY 40505-4179 2018-08-29
1881172823 Kayla Kouns Nurse Practitioner 1030 Monarch Street Suite 100, Lexington, KY 40513-1820 2018-08-01
1033601992 Davika Mattox Pmhnp Recovery and Wellness Behavioral Health Nurse Practitioner 3208 Polo Club Blvd, Lexington, KY 40509-8454 2018-06-05
1265935159 Holly Melissa Lewis Nurse Practitioner 4766 Sunset Blvd Ste A, Lexington, SC 29072-9252 2018-03-16
1225546690 Latoya Bo'nee Lee Nurse Practitioner 161 Prosperous Pl Ste 100, Lexington, KY 40509-1898 2018-01-18
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Competitor

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City LEXINGTON
Zip Code 40508

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Dataset Information

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.

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