Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Lynn Gilliam

Individual provider Certified Registered Nurse Anesthetist · NPI 1689373987

Nicole Lynn Gilliam is a Certified Registered Nurse Anesthetist (CRNA) in Sarasota, Florida. Qualified in 2013, 13 years ago. Practices with Smh Physician Services Inc, a 774-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1700 S Tamiami Trl
Sarasota, FL 34239-3509
Phone: (941) 917-8720
Fax: (941) 917-1875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12901 Bruce B Downs Blvd, Tampa, FL 33612-4742 — (813) 974-2191

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11026204 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN9399266 (FL)

Record details

NPI number1689373987
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2023
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Smh Physician Services Inc — 774 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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