JEFFREY LILLIE (NPI# 1861037715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861037715 |
| Entity Type | Individual |
| Full Name | JEFFREY LILLIE |
| Credential | CRNA |
| Practice Address |
1100 Central Ave Se Albuquerque NM 87106-4930 |
| Mailing Address |
1720 Louisiana Blvd Ne Ste 401 Albuquerque NM 87110-7020 |
| Practice Telephone | 5052604300 |
| Practice Fax Number | 5052604371 |
| Mailing Telephone | 5052604300 |
| Mailing Fax Number | 5052604371 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 58578 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184924532 | Jeffrey James Lillie | Pharmacist | 13130 Se 84th Ave, Clackamas, OR 97015-9733 | 2010-11-01 |
| Street Address |
1100 CENTRAL AVE SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354243 | Robert A Biazak | Anesthesiology | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2005-05-24 |
| 1043811045 | Nathan Michael Mabon | Registered Nurse | 1100 Central Ave Se, Albuquerque, NM 87106-4934 | 2020-11-05 |
| 1588274039 | Caryn Hong Thi Nguyen | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-08-07 |
| 1396355996 | Hope Jessica Montoya | Internal Medicine | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-08-07 |
| 1326658030 | Chaniece Doyle | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-08-06 |
| 1598375495 | Daniel Sanchez | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-08-05 |
| 1215551478 | Yousuf Shakir | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-06-03 |
| 1396387502 | Justin Schmetterer | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2019-10-09 |
| 1669023602 | Jalayne Faulhaber | Nurse Practitioner | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2019-09-20 |
| 1437709532 | Patrick Andrew Leonard | Nurse Practitioner | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2019-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649728981 | Paul Koury | Nurse Anesthetist, Certified Registered | 13600 Rebonito Ct Ne, Albuquerque, NM 87112-4929 | 2016-09-15 |
| 1699047605 | Katherine Brooks Ingram | Nurse Anesthetist, Certified Registered | 1100 Central Ave. Se, Presbyterian Hospitals, Albuquerque, NM 87106 | 2012-02-07 |
| 1033489240 | Hideyo Tsumura | Nurse Anesthetist, Certified Registered | 4401 Masthead St Ne Ste 120, Albuquerque, NM 87109-4497 | 2012-01-04 |
| 1043348501 | Beth E Schatzman | Nurse Anesthetist, Certified Registered | 5400 Gibson Blvd Se Ste 200, Albuquerque, NM 87108 | 2007-02-28 |
| 1083754519 | Laura M. Henry | Nurse Anesthetist, Certified Registered | 905 Kinley Avenue Nw, Albuquerque, NM 87104 | 2007-02-07 |
| 1457424772 | Rebecca Anne Cdebaca | Nurse Anesthetist, Certified Registered | 4416 Goodrich Ave Ne, Albuquerque, NM 87110-1136 | 2006-11-16 |
| 1063528743 | Randy A Rogers | Nurse Anesthetist, Certified Registered | 8505 Bellehaven Pl Ne, Albuquerque, NM 87112-3821 | 2006-08-22 |
| 1164536801 | Paul J Butler | Nurse Anesthetist, Certified Registered | 4520 Montgomery Blvd Ne Ste 6, Albuquerque, NM 87109-1291 | 2006-08-19 |
| 1881601847 | Letitia Ann Meglan | Nurse Anesthetist, Certified Registered | 9551 Paseo Del Norte Ne, Physician Surgery Center of Albuquerque, Albuquerque, NM 87122-2975 | 2006-08-02 |
| 1245277359 | Jamie B Kaplin | Nurse Anesthetist, Certified Registered | 13300 Twilight Trail Pl Ne, Albuquerque, NM 87111-8248 | 2006-05-31 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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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.