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DIERDRE A GILLIAM MSN, RN, PHN
NPI 1205984010
Registered Nurse - Administrator in Woodland, CA

Active since January 08, 2007
137 N COTTONWOOD ST, STE 2400, WOODLAND, CA 95695(530) 666-8558(530) 666-7447 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dierdre A Gilliam Msn, Rn, Phn NPPES

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

DIERDRE A GILLIAM MSN, RN, PHN (NPI 1205984010) is an individual administrator provider in Woodland, California, licensed in California (607502) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1205984010
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameDIERDRE A GILLIAMCredential: MSN, RN, PHN
Location Address137 N COTTONWOOD ST, STE 2400Woodland, CA 95695
Mailing Address8425 Fernando WayElverta, CA 95626-9542 · (916) 991-5875 · Fax (530) 666-7447
Phone(530) 666-8558
Fax(530) 666-7447
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1205984010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in CA · 607502
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 607502 (CA)
137 N COTTONWOOD ST, Woodland, CA 95695
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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.

DR. KAMAL HAMDY
Psychologist (Clinical)
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (530) 666-2634
ROSALIND WAMBUGU
Registered Nurse
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (916) 254-2293
EMMA CATHERINE LATUNO
Marriage & Family Therapist
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (530) 980-1845
MS. SAMMY A HAWK
Day Training/Habilitation Specialist
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (530) 666-8630
MARIO GALLEGATI
Marriage & Family Therapist
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (530) 757-5530
JONETTA HENDERSON
Peer Specialist
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (530) 312-5127
ADRIANA BERTA FUENTES
Counselor (Mental Health)
137 N COTTONWOOD ST
WOODLAND, CA 95695
Yolo County (530) 666-8291
MS. LYNN E. LY LCSW
Social Worker
137 N COTTONWOOD ST, STE 1540
WOODLAND, CA 95695
Yolo County (530) 666-8541

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 Dierdre Gilliam's NPI number?

The NPI number for Dierdre Gilliam is 1205984010. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Dierdre Gilliam located?

Dierdre Gilliam practices at 137 N Cottonwood St Ste 2400, Woodland, CA 95695. The listed phone number is (530) 666-8558.

What is Dierdre Gilliam's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Dierdre Gilliam was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.