MELISSA R LILL (NPI# 1124323621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124323621 |
| Entity Type | Individual |
| Full Name | MELISSA R LILL |
| Credential | CRNP |
| Practice Address |
483 W. Seed Farm Rd Sacaton AZ 85147 |
| Mailing Address |
Po Box 38 Sacaton AZ 85147-0001 |
| Practice Telephone | 6025281200 |
| Practice Fax Number | 6025281255 |
| Mailing Telephone | 6025281200 |
| Mailing Fax Number | 6025281255 |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2015-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP4366 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
SP011112 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
483 W. SEED FARM RD |
| City | SACATON |
| State | AZ |
| Zip Code | 85147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124006630 | Kenneth R Geans | Social Worker | 483 W. Seed Farm Rd, Sacaton, AZ 85247 | 2006-01-04 |
| 1003327685 | Robert William Adams | Registered Nurse | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2017-10-23 |
| 1730583725 | Ronald M Fosson | Dietitian, Registered | 483 W. Seed Farm Rd, Gila River Health Care Corporation, Sacaton, AZ 85147-0038 | 2014-10-20 |
| 1528304755 | Cynthia Ann Carter | Nurse Practitioner | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2012-12-16 |
| 1720335003 | Dean Fasciani | Optometrist | 483 W. Seed Farm Rd, Sacaton, AZ 85147-0038 | 2012-08-06 |
| 1497020804 | Becky Gail Brundin | Dietitian, Registered | 483 W. Seed Farm Rd, Sacaton, AZ 85147-0038 | 2012-03-19 |
| 1497034342 | Shannon Yvonne Borrego | Optometrist | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2011-08-10 |
| 1720371396 | Crystal Amber Kunka | Family Medicine | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2011-05-16 |
| 1538478946 | Stacy Marie Crow | Physical Therapist | 483 W. Seed Farm Rd, Sacaton, AZ 85147 | 2010-10-03 |
| 1720304710 | Marilyn L Sample | Dietitian, Registered | 483 W. Seed Farm Rd, Sacaton, AZ 85147-0115 | 2010-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
| 1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
| 1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
| 1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
| Find all providers in zip 85147 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672501 | Carey Michelle Lennon | Nurse Practitioner | 433 W. Seed Farm Road, Sacaton, AZ 85247-2175 | 2005-10-06 |
| 1457837726 | Lezah Marie King | Nurse Practitioner | 483 W. Seed Farm Road, Sacaton, AZ 85147 | 2018-07-19 |
| 1811249501 | Claudia V Castrillo | Nurse Practitioner | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2012-10-05 |
| 1609158336 | Maria Santander Drury | Nurse Practitioner | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2011-09-20 |
| 1154406874 | Lorraine Susan Aguilar | Nurse Practitioner | 483 W. Seed Farm Rd., #3, Sacaton, AZ 85147 | 2006-10-25 |
| 1194758615 | Martha Cruz | Nurse Practitioner | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2006-07-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.