MRS. ANGELA RENAE LILLY (NPI# 1235418302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235418302 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA RENAE LILLY |
| Credential | FNP-BC |
| Practice Address |
430 Boxwood Ln Pearisburg VA 24134 |
| Mailing Address |
430 Boxwood Ln Pearisburg VA 24134-1168 |
| Practice Telephone | 5409216110 |
| Practice Fax Number | 5409213796 |
| Mailing Telephone | 5409216110 |
| Mailing Fax Number | 5409213796 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024174082 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1331 Southview Dr Ste 9, Bluefield, WV 247014320 | 3043248367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356804793 | Angela Marie Lilly | Counselor | 7211 Standard Rd, Magnolia, TX 77354-3060 | 2019-04-11 |
| Street Address |
430 BOXWOOD LN |
| City | PEARISBURG |
| State | VA |
| Zip Code | 24134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733580 | Shirley Dols Petreye | Nurse Practitioner | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2005-10-11 |
| 1104474618 | Brittany Taylor Baskette | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2019-08-28 |
| 1558853457 | Jocelyn Elyse Gibson | Physician Assistant | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2018-06-06 |
| 1548799273 | Katherine Elizabeth Martiniuk | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2017-06-06 |
| 1780066837 | Cassandra Marie Mccoy | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134 | 2015-06-25 |
| 1952791600 | Carilion Giles Community Hospital | Clinic/Center | 430 Boxwood Ln, Pearisburg, VA 24134-2471 | 2015-02-03 |
| 1336375955 | Julia Marie Mitchell Sargent | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2009-06-10 |
| 1578570743 | Lisa Shea Kennedy | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2006-08-01 |
| 1699746677 | Frederick Swartzendruber | Surgery | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2006-01-30 |
| 1689652406 | Richard D Grube | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447239348 | James Robert Smith | Emergency Medicine | 6 Taylor Ave., Pearisburg, VA 24134 | 2006-01-10 |
| 1386124386 | Jessica Lee Furrow | Nurse Practitioner | 159 Hartley Way, Pearisburg, VA 24134 | 2018-08-19 |
| 1326387754 | Clarity Eye Care, Plc | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2013-02-05 |
| 1316238546 | Be Active Physical Therapy Inc | Physical Therapist | 203 North Main St, Pearisburg, VA 24134 | 2011-04-21 |
| 1073816278 | Jonathan M Marshall | Nurse Anesthetist, Certified Registered | 159 Hartley Way, Pearisburg, VA 24134 | 2010-12-09 |
| 1972788610 | Helen Jacqueline Clark | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2007-12-31 |
| 1740478403 | Nickolas Wilson Clark | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2007-10-09 |
| 1962460477 | Darla Gay Whitehead | Physical Therapist | 203 North Main Street, Pearisburg, VA 24134 | 2006-05-03 |
| 1528040060 | Douglas Scott Hayes | Emergency Medicine | 1 Taylor Ave, Pearisburg, VA 24134 | 2005-11-18 |
| 1053659474 | Rye Dialysis, LLC | Clinic/Center | 377 Boxwood Ln, Pearisburg, VA 24134-1166 | 2013-01-18 |
| Find all providers in zip 24134 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733580 | Shirley Dols Petreye | Nurse Practitioner | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2005-10-11 |
| 1386124386 | Jessica Lee Furrow | Nurse Practitioner | 159 Hartley Way, Pearisburg, VA 24134 | 2018-08-19 |
| 1942699392 | Charles Smith | Nurse Practitioner | 219 Buchanan St, Pearisburg, VA 24134-1901 | 2015-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568328 | Lindsey Faulkner | Nurse Practitioner | 32 2nd Ave, Kilmarnock, VA 22482-9571 | 2020-11-06 |
| 1275134694 | Samantha Bonita Wilkins-copeland | Nurse Practitioner | 600 Reusens Rd Apt L129, Lynchburg, VA 24503-1270 | 2020-11-03 |
| 1427659010 | Angela Marie Baker | Nurse Practitioner | 12631 Harrowgate Rd, Chester, VA 23831-4808 | 2020-11-02 |
| 1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
| 1881294783 | Amy K Volk | Nurse Practitioner | 272 Bendix Rd Ste 100, Virginia Beach, VA 23452-1380 | 2020-10-29 |
| 1932708971 | Kenjilyn Saldua Uchida | Nurse Practitioner | 8006 Hampton Glen Mews, Chesterfield, VA 23832-2003 | 2020-10-21 |
| 1245839497 | Abdul Malike | Nurse Practitioner | 8010 George Fox Pl, Lorton, VA 22079-2347 | 2020-10-20 |
| 1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
| 1619575016 | Lauren Marie Rayburn | Nurse Practitioner | 21021 Sycolin Rd, Ashburn, VA 20147-4097 | 2020-10-16 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | PEARISBURG |
| Zip Code | 24134 |
Please comment or provide details below to improve the information on MRS. ANGELA RENAE LILLY.
| 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.