NPI age
19 years
Enumerated 2006-08-17
● Active
Type 1 · Individual
Penny Gilliam, CRNA
Gilliam is 1 of 1449 nurse anesthetist, certified registered providers in Dallas and 1 of 6676 in Texas.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-06-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 6676 active nurse anesthetist, certified registered providers in Texas.
NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
6606 Lbj Fwy Ste 200
Dallas, TX 75240
Mailing address
Po Box 840853
Dallas, TX 752840853
Specialties
-
Nurse Anesthetist, Certified Registered Primary(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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 200877301 | |
| 05 (TX) | 200877303 | |
| 05 (FL) | 301352900 | |
| 05 (TX) | 200877302 | |
| 01 (TX) | P00786663 | RAILROAD |
| 01 (TX) | 8008UU | BLUE CROSS BLUE SHIELD |
| 01 (FL) | G1916 | BLUE CROSS BLUE SHIELD |
Practice context
Part of a multi-provider practice. 540 other active providers share this practice address in NPPES.
Recently enumerated nearby: 17 new nurse anesthetist, certified registered providers have been added in Dallas in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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