Overview
Gilly Sandradine Arthurs Moulton is a Family Nurse Practitioner practicing in Leesburg, Florida. The National Provider Identifier (NPI) is #1275603441, which was assigned on November 8, 2006, and the registration record was last updated on December 8, 2023. The practitioner's main practice location is at 27637 Us Highway 27, Leesburg, FL 34748-9033; the contact telephone number is 3523266001, and the fax number is 3523150235. The primary taxonomy of Gilly Sandradine Arthurs Moulton is Family Nurse Practitioner (363LF0000X), with specialization in Family. Gilly Sandradine Arthurs Moulton is licensed to practice in the state of Florida (#APRN11021813).
Provider Information
| NPI | 1275603441 |
| Entity Type | Individual |
| Provider Name | GILLY SANDRADINE ARTHURS MOULTON |
| Other Name | GILLY ARTHURS (Professional Name) |
| Gender | Female |
| Credential | DNP, FNP-BC |
| Other Credential | DNP, FNP-BC |
| Practice Address | 27637 Us Highway 27 Leesburg FL 34748-9033 |
| Practice Telephone | 3523266001 |
| Practice Fax Number | 3523150235 |
| Mailing Address | 27637 Us Highway 27 Leesburg FL 34748-9033 |
| Mailing Telephone | 3523266001 |
| Mailing Fax Number | 3523150235 |
| Certification Date | 2023-12-08 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-12-08 |
| Is Sole Proprietor | N |
Doctor and Clinician Information
| PAC ID | 4880770445Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | GILLY S ARTHURS MOULTON |
| Primary Specialty | NURSE PRACTITIONER |
| Organization Legal Name | ORLANDO PHYSICIANS NETWORK INC |
| Address | 27637 Us Hwy 27 Leesburg FL 34748-9033 |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner | Family | APRN11021813 | FL |
Other Provider Identifiers
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 333364 | NY | LICENSE | Other |
Secondary Practice Locations
| Address | Telephone | Fax |
|---|---|---|
| 1 Hatfield Ln, Goshen, NY 109246752 | 8453605530 | 8453605526 |
| 1 Hatfield Ln, Goshen, NY 109246752 | 8453605530 ext. | 8453605526 |
| 147 Lake St, Newburgh, NY 125505263 | 8455638000 | |
| 147 Lake St, Newburgh, NY 125505263 | 8455638000 ext. |
Taxonomy Information
Primary Taxonomy
| Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Definition: Definition to come...
Providers with the same taxonomy
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Megan Harvey | 66 Bramhall St # G1, Portland, ME 04102-3344 | Family Nurse Practitioner | 2024-08-10 |
| Dalena Nguyen | 423 Misty Meadow Pl, Lilburn, GA 30047-8058 | Family Nurse Practitioner | 2024-08-09 |
| Destiny Marie Taylor | 12500 Dallas Pkwy Ste 4.200, Frisco, TX 75033-4231 | Family Nurse Practitioner | 2024-08-10 |
| Angela Smith | 611 W Park St, Urbana, IL 61801-2501 | Family Nurse Practitioner | 2024-08-09 |
| Melissa Bergman | 3220 River Rd, Toledo, OH 43614-4217 | Family Nurse Practitioner | 2024-08-09 |
| Melanie Kolmetz | 603 Scenic Hill Circle, Bonifay, FL 32425-3060 | Family Nurse Practitioner | 2024-08-09 |
| Christopher Arnold Bowerman | 22331 Mission Blvd, Hayward, CA 94541-3911 | Family Nurse Practitioner | 2024-08-09 |
| Amy Camille Holsing | 916 4th Ave Sw, Pipestone, MN 56164-1890 | Family Nurse Practitioner | 2024-08-09 |
| Amy Marie Gill | 2293 E 4086 N, Filer, ID 83328-5066 | Family Nurse Practitioner | 2024-08-09 |
| Ilsook Park Dahlin | 35463 Highway 41, Coarsegold, CA 93614-8722 | Family Nurse Practitioner | 2024-08-10 |
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Location Information
| Street Address | 27637 US HIGHWAY 27 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-9033 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Melissa E. Mercado | 27637 Us Highway 27, Leesburg, FL 34748-9033 | Family Nurse Practitioner | 2023-06-09 |
| Katie Leigh King | 27637 Us Highway 27, Leesburg, FL 34748-9033 | Family Nurse Practitioner | 2017-10-13 |
| Angela L Tatro | 27637 Us Highway 27, Leesburg, FL 34748-9033 | Family Nurse Practitioner | 2019-02-04 |
| 27637 Us Highway 27, Leesburg, FL 34748-9033 | Emergency Medicine Physician | 2020-01-15 | |
| Shelby Rebecca Steele | 27637 Us Highway 27, Leesburg, FL 34748-9033 | Family Nurse Practitioner | 2022-09-20 |
| Tanisha Marie Johnson | 27637 Us Highway 27, Leesburg, FL 34748-9033 | Nurse Practitioner | 2017-08-08 |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Serenity Choice Place, LLC | 721 Balmoral Circle, Leesburg, FL 34748 | Community/Behavioral Health Agency | 2015-07-01 |
| Marie Jessie Piard | 2218 Mispah Avenue, Leesburg, FL 34748 | Home Health Agency | 2022-10-11 |
| Massage and Wellness Care | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | Health Maintenance Organization | 2017-05-04 |
| Sharon Quackenbush | Progress Counseling Group, 213 South Dillard Street Suite 120b, Winter Garden, FL 34748 | Mental Health Counselor | 2022-10-27 |
| Leesburg Regional Medical Center · Cfha Occupational Health Services | 550 E. Dixie Ave, Leesburg, FL 34748 | Clinic/Center | 2014-04-29 |
| Optimal Patient Care of The Nature Coast LLC · Rehab At Home | 1310 - 3 North Blvd, Leesburg, FL 34748 | Home Health Agency | 2015-03-03 |
| Adventist Health System/Sunbelt, Inc. · Adventhealth Centra Care - Leesburg | 1103 N 14th Street, Leesburg, FL 34748 | Family Medicine Physician | 2015-02-12 |
| Ana Medina Sanchez | First Step Therapy LLC, 606 South 9th Street, Leesburg, FL 34748 | Speech-Language Pathologist | 2014-10-09 |
| Maria Ceballos | 600 North Boulevard, W. Suite D, Leesburg, FL 34748 | Physical Therapist | 2014-09-26 |
| Luis O Aponte Mendoza | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | Physician Assistant | 2018-09-14 |
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Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Morgan Gilly | 37w130 Baker Hill Ct, St Charles, IL 60175-7402 | Behavioral Analyst | 2024-04-19 |
| Katharine Gilly Li | 2 Crecienta Dr, Sausalito, CA 94965-1806 | General Practice Registered Nurse | 2016-11-30 |
| Gilly Perez, Md | 8955 Sw 87th Ct, Ste 204, Miami, FL 33176-2230 | Non-Pharmacy Dispensing Site | 2013-03-15 |
| Gilly Dosovitsky | 2150 N 1st St Ste 650, San Jose, CA 95131-2031 | Student in an Organized Health Care Education/Training Program | 2022-08-29 |
| Jane Mcmahon-Gilly | 101 Pulaski St, Auburn, NY 13021-1797 | School Registered Nurse | 2016-01-19 |
| Philip A Gilly Md PLLC | 38 Broad Street, Kinderhook, NY 12106 | Primary Care Clinic/Center | 2011-06-16 |
| Jani Gilly | 1000 W Broadway St Ste 214, Oviedo, FL 32765-9262 | Behavior Technician | 2018-05-08 |
| Gilly Perez, Md | 8955 Sw 87th Ct., Suite 204, Miami, FL 33176 | Non-Pharmacy Dispensing Site | 2013-03-15 |
| Amber Gilly | 7810 E 108th St, Tulsa, OK 74133-7415 | Behavior Technician | 2024-01-17 |
| Tulsy Gilly | 403 Long Hollow Pike, Goodlettsville, TN 37072-1905 | Nurse Practitioner | 2024-08-05 |
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Dataset Information
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
Dataset Details
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.
