PROF. MARY L LILLY (NPI# 1821221920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821221920 |
| Entity Type | Individual |
| Full Name | PROF. MARY L LILLY |
| Credential | PHD RN MS MSN |
| Practice Address |
4715 Viewridge Ave San Diego CA 92123-1658 |
| Mailing Address |
5001 North Piedras El Paso TX 79930 |
| Practice Telephone | 8002578715 |
| Practice Fax Number | 8008191655 |
| Mailing Telephone | 9155646100 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2017-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN169742 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
70000096A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
760860 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1669992830 | Mary Kathryn Lilly | Nurse Practitioner | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2017-06-20 |
| 1285013888 | Mary Katherine Lilly | Social Worker | 908 Scarbro Road, Scarbro, WV 25917 | 2015-05-28 |
| 1780748020 | Mary E Lilly | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-12-21 |
| Street Address |
4715 VIEWRIDGE AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932174281 | Lisa Pistone | Psychologist | 4715 Viewridge Ave, Suite 230, San Diego, CA 92123-1658 | 2006-02-21 |
| 1871040568 | Gail Deborah Simon-boyd | Psychologist | 4715 Viewridge Ave, #230, San Diego, CA 92123-1658 | 2016-09-09 |
| 1740602457 | Colleen Carney Love | Nurse Practitioner | 4715 Viewridge Ave, Suite 230, San Diego, CA 92123-1658 | 2014-01-15 |
| 1306271069 | Kandace Lyn Eller | Nurse Practitioner | 4715 Viewridge Ave, San Diego, CA 92123-1658 | 2013-09-12 |
| 1700132610 | Jahna Dhaye Anyanwu | Psychologist | 4715 Viewridge Ave, Suite 110, San Diego, CA 92123-1658 | 2012-07-29 |
| 1083924864 | Odon Joseph Hidalgo | Social Worker | 4715 Viewridge Ave, Suite 230, San Diego, CA 92123-1658 | 2010-10-14 |
| 1649584541 | Carol Kimble | Psychologist | 4715 Viewridge Ave, San Diego, CA 92123-1658 | 2010-08-03 |
| 1558691816 | Sandra Della Rocca | Psychologist | 4715 Viewridge Ave, Suite 230, San Diego, CA 92123-1658 | 2010-01-10 |
| 1659526929 | Shelia Michelle Stenson | Psychologist | 4715 Viewridge Ave, Suite 110/230, San Diego, CA 92123-1658 | 2008-11-29 |
| 1811154263 | Mary E Caravello | Nurse Practitioner | 4715 Viewridge Ave, Suite 230, San Diego, CA 92123-1680 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235329608 | Susan F Mcdonald | Clinical Nurse Specialist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2007-07-31 |
| 1043327844 | Rita Ann Osterman | Clinical Nurse Specialist | 4525 Mission Gorge Pl, San Diego, CA 92120-4106 | 2006-08-25 |
| 1841307196 | Geraldine Marie Smith | Clinical Nurse Specialist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2006-08-24 |
| 1972616480 | Alby Quinlan | Clinical Nurse Specialist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2006-08-17 |
| 1396769535 | Elizabeth Pinner | Clinical Nurse Specialist | 8810 Rio San Diego Dr, Suite 2200, San Diego, CA 92108-1622 | 2006-07-27 |
| 1215950209 | Barbara Ann Casey | Clinical Nurse Specialist | 8810 Rio San Diego Dr, San Diego, CA 92108-1622 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417213273 | The Well Clinic | Clinical Nurse Specialist | 383 Rhode Island St, Suite 201, San Francisco, CA 94103-5177 | 2012-04-05 |
| 1629376322 | Susanne Semler Birman | Clinical Nurse Specialist | 3620 Saint Elizabeth Rd, Glendale, CA 91206-1228 | 2011-03-03 |
| 1033429204 | Mary Ann Nihart | Clinical Nurse Specialist | 146 Hilton Ln, Pacifica, CA 94044-8039 | 2010-10-20 |
| 1770722639 | Lynn Y. Martin | Clinical Nurse Specialist | 61 Avenida De Orinda # 100, Orinda, CA 94563-2327 | 2009-02-16 |
| 1245258227 | Linda Anne Allen | Clinical Nurse Specialist | 86 Long Ct Ste A, Thousand Oaks, CA 91360-7418 | 2006-07-17 |
| 1235787235 | Taryn Alexandra Joyce | Clinical Nurse Specialist | 150 W 7th St, San Pedro, CA 90731-3320 | 2019-09-03 |
| 1336566348 | Scott Veltre | Clinical Nurse Specialist | 5887 Brockton Ave, Suite A, Riverside, CA 92506-1853 | 2014-03-27 |
| 1831439504 | Martha Abbott Creed | Clinical Nurse Specialist | 3801 Miranda Ave, Va Palo Alto, Palo Alto, CA 94304 | 2013-02-18 |
| 1346529823 | Keynan Hobbs | Clinical Nurse Specialist | 8900 Grossmont Blvd, Ste 4, La Mesa, CA 91941-4047 | 2011-08-15 |
| 1487989281 | Dawn Nolan | Clinical Nurse Specialist | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2009-10-12 |
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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.