LILY A JACKMAN (NPI# 1568019404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568019404 |
| Entity Type | Individual |
| Full Name | LILY A JACKMAN |
| Credential | RN |
| Practice Address |
502 Elm St Ne Albuquerque NM 87102-2512 |
| Mailing Address |
93 Lagarto Rd Tijeras NM 87059-7454 |
| Practice Telephone | 5055540915 |
| Mailing Telephone | 5757797701 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN76420 | NM | Nursing Service Providers |
| Street Address |
502 ELM ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464600 | William M. Deane | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2005-06-01 |
| 1326539420 | Sandeep Nair | Internal Medicine | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2018-05-24 |
| 1710403589 | Catherine Elizabeth Mahoney | Nurse Practitioner | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2017-08-14 |
| 1336664820 | Arun L Malikayil | Physician Assistant | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2017-08-07 |
| 1033642921 | Crystal Lewis-hicks | Nurse Practitioner | 502 Elm St Ne, Albuquerque, NM 87102 | 2017-04-06 |
| 1275073009 | Rachel Deaton | Registered Nurse | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2017-02-27 |
| 1609318500 | Judith Everett | Registered Nurse | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2016-11-08 |
| 1972050383 | David Wayne Young | Physician Assistant | 502 Elm St Ne, Albuquerque, NM 87102 | 2016-09-01 |
| 1134520232 | Erin Miller Schultz | Physician Assistant | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2014-09-08 |
| 1194133140 | Jaclyn Mcalester | Nurse Practitioner | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2014-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507254 | Karoline Kinney | Registered Nurse | 514 Maple St Se, Albuquerque, NM 87106-4831 | 2020-07-31 |
| 1750917928 | Cameron Pellegrino | Registered Nurse | 10505 Coyote Canyon Pl Nw, Albuquerque, NM 87114-5949 | 2020-03-19 |
| 1659901262 | Natalie Oliphant | Registered Nurse | 2100 Louisiana Blvd Ne Ste 410, Albuquerque, NM 87110-5412 | 2020-01-22 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1518503374 | M. Emilia Martinez | Registered Nurse | 9540 Stone Ridge Dr Nw, Albuquerque, NM 87114-3006 | 2019-11-26 |
| 1558926576 | Joan Aurelia Gugliotta | Registered Nurse | 13339 Chaco Cliff Trl Se, Albuquerque, NM 87123-1085 | 2019-05-06 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1134611635 | Michelle E Hannah | Registered Nurse | 8624 Pine Springs Ct Ne, Albuquerque, NM 87113-1262 | 2018-05-31 |
| 1285139543 | Brooke Ann Palmer | Registered Nurse | 2904 Arno St Ne, Albuquerque, NM 87107-1502 | 2018-03-28 |
| 1558885327 | Robert Onchaga | Registered Nurse | 1177 Cardenas Dr Se Apt 441, Albuquerque, NM 87108-1565 | 2017-08-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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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.