MARY KATHRYN LILLY (NPI# 1669992830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669992830 |
| Entity Type | Individual |
| Full Name | MARY KATHRYN LILLY |
| Credential | APRN |
| Practice Address |
5041 N 12th Ave Pensacola FL 32504-8916 |
| Mailing Address |
1523 Templemore Dr Cantonment FL 32533-4800 |
| Practice Telephone | 8504332155 |
| Mailing Telephone | 8504503942 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2718922 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024174962 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1701 Thomson Dr, Lynchburg, VA 245011118 | 4342006085 | 4342006086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437525813 | Mary Lilly | Occupational Therapy Assistant | 2601 Reynolda Rd., Brighton Gardens of Winston Salem, Winston Salem, NC 27106 | 2015-08-19 |
| 1003907650 | Mary Susan Lilly | Optometrist | 3875 Us Highway 301 S, Riverview, FL 33578 | 2006-09-27 |
| 1285013888 | Mary Katherine Lilly | Social Worker | 908 Scarbro Road, Scarbro, WV 25917 | 2015-05-28 |
| 1821221920 | Mary L Lilly | Nurse Practitioner | 4715 Viewridge Ave, San Diego, CA 92123-1658 | 2009-08-24 |
| 1780748020 | Mary E Lilly | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-12-21 |
| Street Address |
5041 N 12TH AVE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972555464 | Covenant Hospice Inc | Hospice Care, Community Based | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2006-05-16 |
| 1346850328 | Lindsay Nicole Barnes | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2020-08-05 |
| 1144848144 | Jennifer Joanne Entsminger | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2020-07-07 |
| 1033748157 | Katrina Lea Ann Snider | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2020-04-02 |
| 1245882083 | Covenant Home Health Care 11, LLC | Home Health | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2019-07-11 |
| 1730747874 | Jodilyn Grace Holz | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2019-06-04 |
| 1528528981 | Kasey Mcdowell Bowers | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2019-03-21 |
| 1124475462 | Latonya Charmene Prim | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2016-05-17 |
| 1275929085 | Christine L. Quinby | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2015-04-08 |
| 1710398136 | Covenant Palliative Care Services LLC | Family Medicine | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2014-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121156 | Evangeline Mahima Standridge | Nurse Practitioner | 7828 Woodpointe Dr, Pensacola, FL 32514-6625 | 2020-10-13 |
| 1902411143 | Richard Hutson | Nurse Practitioner | 3660 Cherry Laurel Dr, Pensacola, FL 32504-7519 | 2020-09-14 |
| 1982218202 | Sherri Louise Pucillo | Nurse Practitioner | 1717 N E St Ste 526, Pensacola, FL 32501-6333 | 2020-09-03 |
| 1740893841 | Krista Ivana Robinson | Nurse Practitioner | 5995 Arch Ave, Pensacola, FL 32526-3232 | 2020-08-28 |
| 1578173670 | Lalita Combs | Nurse Practitioner | 6013 Patch Ln, Pensacola, FL 32526-9177 | 2020-08-04 |
| 1053929075 | Cynthia Elaine Garay | Nurse Practitioner | 4270 Langley Ave, Pensacola, FL 32504-8454 | 2020-07-15 |
| 1083254742 | Brittany Beasley Perez | Nurse Practitioner | 543a Fontaine St Ste A, Pensacola, FL 32503-2018 | 2020-01-10 |
| 1912540238 | Jeanne Clack Harris | Nurse Practitioner | 3002 E Jackson St, Pensacola, FL 32503-6437 | 2019-10-18 |
| 1598315608 | Lanora Glaze | Nurse Practitioner | 1645 Elmhurst Rd, Pensacola, FL 32505-1039 | 2019-09-19 |
| 1710547609 | Stephanie Evans | Nurse Practitioner | 6202 N 9th Ave Ste 1a, Pensacola, FL 32504-8291 | 2019-06-13 |
| Find all providers in PENSACOLA | ||||
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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.