MS. PATRICIA L. GILLUM CRNA
NPI 1013994110
Nurse Anesthetist, Certified Registered in Fort Worth, TX

Active since December 29, 2005
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 882-3680(817) 878-5135 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Patricia L. Gillum Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PATRICIA L. GILLUM CRNA (NPI 1013994110) is an individual nurse anesthetist, certified registered in Fort Worth, Texas, licensed in Texas (221908) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1013994110
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. PATRICIA L. GILLUMCredential: CRNA
Location Address1301 PENNSYLVANIA AVEFort Worth, TX 76104-2122
Mailing Address4245 Oak Park CtFort Worth, TX 76109-9552 · (817) 923-3366 · Fax (972) 386-4292
Fax(817) 878-5135
Sole ProprietorYes
Enumeration DateDecember 29, 2005
Last NPPES UpdateJuly 9, 2007
NPI 1013994110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in TX · 221908
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1301 PENNSYLVANIA AVE, Fort Worth, TX 76104

Other Identifiers 2

Medicare UPINR69864
Medicare ID-Type Unspecified8G0546TX · 607k

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1301 PENNSYLVANIA AVE, DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX 76104
Internal Medicine
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Registered Nurse (Neonatal Intensive Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal, Critical Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Psychiatric/Mental Health)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Pharmacist
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Gillum's NPI number?

The NPI number for Patricia Gillum is 1013994110. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Patricia Gillum located?

Patricia Gillum practices at 1301 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 882-3680.

What is Patricia Gillum's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Patricia Gillum was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.