MICHELE R LILLEY (NPI# 1457872376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457872376 |
Entity Type | Individual |
Full Name | MICHELE R LILLEY |
Credential | FNP-BC |
Practice Address |
177 Middletown Rd, Ste1 Upc Whitehall Medical Fairmont WV 26554 |
Mailing Address |
Po Box 763 Morgantown WV 26507-0763 |
Practice Telephone | 3043666600 |
Mailing Telephone | 8005414009 |
Enumeration Date | 2017-06-30 |
Last Update Date | 2017-06-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
84107 | WV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
177 MIDDLETOWN RD, STE1 UPC WHITEHALL MEDICAL |
City | FAIRMONT |
State | WV |
Zip Code | 26554 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
1275884017 | Tracy Ann Wine | Social Worker | 448 Leonard Ave., Valley Healthcare System, Fairmont, WV 26554 | 2012-09-19 |
Find all providers in zip 26554 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295341253 | Elevation Family Wellness | Nurse Practitioner | 1044 Hite Cir, Fairmont, WV 26554-9398 | 2020-09-16 |
1700307519 | Brenda Jo Brubaker | Nurse Practitioner | 120 Maplewood Dr, Fairmont, WV 26554-2162 | 2017-06-30 |
1881124428 | Kristen Cutright | Nurse Practitioner | 1325 Locust Ave # 32, Fairmont, WV 26554-1435 | 2017-06-15 |
1881021459 | Traci Layne Tannehill | Nurse Practitioner | 5 Erwin Ln Ste A, Fairmont, WV 26554-1376 | 2013-09-27 |
1205188240 | Kelly Jo Hazuka | Nurse Practitioner | 100 Avery Olivia Way Ste B, Fairmont, WV 26554-9375 | 2012-10-14 |
1255633103 | Christine Lynn Mott | Nurse Practitioner | 123 Michael Developement Rd, Fairmont, WV 26554-8637 | 2010-11-29 |
1467653139 | Mary Patricia Watson | Nurse Practitioner | 1201 Locust Avenue, Fairmont State University Student Health, Fairmont, WV 26554 | 2007-05-30 |
1134124589 | Brenda Mercer Allen | Nurse Practitioner | 1212 S Walnut St, Fairmont, NC 28340-1848 | 2005-06-14 |
1639790389 | Melissa Kay Spring | Nurse Practitioner | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2020-05-05 |
1104462118 | Chelsy N Harmer | Nurse Practitioner | 1703 Locust Ave, Fairmont, WV 26554-1320 | 2019-11-25 |
Find all providers in FAIRMONT |
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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.