Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CASSIDY MARIE GILLIAM
NPI 1588562714
Student in an Organized Health Care Education/Training Program in Woodbury, MN

Q: What is Cassidy Gilliam's NPI number?

The NPI number for Cassidy Gilliam is 1588562714. It was assigned to this individual provider in the NPPES registry on October 28, 2026.

Q: What is Cassidy Gilliam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Cassidy Gilliam was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since October 28, 2026

1099 HEATHER DR, WOODBURY, MN 55129(651) 242-3590 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Cassidy Marie Gilliam NPPES

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

CASSIDY MARIE GILLIAM (NPI 1588562714) is an individual student in an organized health care education/training program in Woodbury, Minnesota and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1588562714

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCASSIDY MARIE GILLIAM

Location Address1099 HEATHER DRWoodbury, MN 55129-8573

Mailing Address1099 Heather DrWoodbury, MN 55129-8573 · (651) 242-3590

Phone(651) 242-3590

Sole ProprietorNo

Enumeration DateOctober 28, 2026

NPPES CertifiedOctober 28, 2026

✔ NPI 1588562714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1099 HEATHER DR, Woodbury, MN 55129

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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 Cassidy Gilliam's NPI number?

The NPI number for Cassidy Gilliam is 1588562714. It was assigned to this individual provider in the NPPES registry on October 28, 2026.

Where is Cassidy Gilliam located?

Cassidy Gilliam practices at 1099 Heather Dr, Woodbury, MN 55129. The listed phone number is (651) 242-3590.

What is Cassidy Gilliam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Cassidy Gilliam was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.