HEATHER GILLIAM (NPI# 1992220263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992220263 |
| Entity Type | Individual |
| Full Name | HEATHER GILLIAM |
| Practice Address |
209 Twin Falls Dr Simpsonville SC 29680-6247 |
| Practice Telephone | 8648148884 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | 241405 | SC | Nursing Service Providers |
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
241405 | SC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053979153 | Heather Gilliam | Community Health Worker | 4400 Ne Halsey St Bldg 2, Portland, OR 97213-1545 | 2019-06-03 |
| 1760740716 | Heather Nicoe Gilliam | Pediatrics | 910 Blackford Street, Chattanooga, TN 37403 | 2012-04-27 |
| 1457526303 | Heather Anne Gilliam | Dietitian, Registered | 147 N Brent St, Ventura, CA 93003-2809 | 2008-04-22 |
| Street Address |
209 TWIN FALLS DR |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29680-6247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235776568 | Tribe Dental LLC | Dentist | 11 Magnolia Cove Dr, Simpsonville, SC 29680 | 2019-12-05 |
| 1255860243 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 704 Fairview Rd., Simpsonville, SC 29680 | 2017-06-05 |
| 1588061998 | Wrights Care Services LLC | Community/Behavioral Health | 504 Boyd Ave, Simpsonville, SC 29680 | 2014-12-01 |
| 1619389590 | Nina Christine Mckenzie | Speech-Language Pathologist | 303 Barrett Chase Dr, Simpsonville, SC 29680 | 2014-05-27 |
| 1275878761 | Stepping Stones Therapy Services | Speech-Language Pathologist | 501 Westbury Way, Simpsonville, SC 29680 | 2012-12-10 |
| 1295085363 | Wael D Nasr | Pharmacist | 698 Fairview Rd., Simpsonville, SC 29680 | 2012-09-14 |
| 1285984831 | Courtney Sands | Pharmacist | 914 West Georgia Road, Simpsonville, SC 29680 | 2012-09-11 |
| 1245589175 | Jeegar Patel | Pharmacist | 914 West Georgia Rd, Simpsonville, SC 29680 | 2012-09-06 |
| 1083847024 | Still Waters Therapeutic Massage & Wellness Clinic | Massage Therapist | 452 North Main St., Six Mile, SC 29680 | 2009-08-25 |
| 1104849314 | Victor Paul Lebedovych | Dentist | 634 Fairview Rd, Building C, Simspnville, SC 29680 | 2006-07-26 |
| Find all providers in zip 29680 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915292 | Joey Marie Tan | Registered Nurse | 307 Fairview Lake Way, Simpsonville, SC 29680-7151 | 2020-06-02 |
| 1134546856 | Jessica Cook | Registered Nurse | 8 Clancy Ct, Simpsonville, SC 29681-1900 | 2014-03-19 |
| 1710509419 | Zephany Rena Andrews | Registered Nurse | 100 Carsons Pond Dr, Simpsonville, SC 29681-3627 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935153 | Quinterria Tenicia Wilson | Registered Nurse | 1110 Malone Ferguson Rd, Garnett, SC 29922-5806 | 2020-09-07 |
| 1740806777 | Lynn Turner Mounir | Registered Nurse | 3504 Woodcone Trl, Anderson, SC 29624-4813 | 2020-06-25 |
| 1598381964 | Takasha Blassingame | Registered Nurse | 118 Camden Dr, Piedmont, SC 29673-9227 | 2020-06-22 |
| 1285256842 | Kala Marissa Elamparo | Registered Nurse | 112 Mitford Way, Fountain Inn, SC 29644-2228 | 2020-05-17 |
| 1700408473 | Jennifer Abigail Ryan | Registered Nurse | 43 Perkins Ct, Greer, SC 29651-5090 | 2020-05-15 |
| 1861014698 | Brenda Angelique Baldwin | Registered Nurse | 158 Beverly Cir, Liberty, SC 29657-8933 | 2020-05-14 |
| 1598387656 | Denise Louise Gasper | Registered Nurse | 107b Lee Ln, Florence, SC 29501-6434 | 2020-05-12 |
| 1679195929 | Lena Marie Jones | Registered Nurse | 400 Delphi Dr, Seneca, SC 29672-6725 | 2020-05-09 |
| 1487275913 | Tashara Anderson | Registered Nurse | 107 Old Oak Dr, Greenwood, SC 29649-1331 | 2020-05-06 |
| 1740801380 | Veronica Martinez | Registered Nurse | 730 Coventry Ln Apt A, Florence, SC 29501-8872 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
| City | SIMPSONVILLE |
| Zip Code | 29680 |
Please comment or provide details below to improve the information on HEATHER 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.