MS. MELISSA DAWN LILLY (NPI# 1992971253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992971253 |
| Entity Type | Individual |
| Full Name | MS. MELISSA DAWN LILLY |
| Credential | PA-C |
| Practice Address |
122 12th Street Ext Princeton WV 24740-2352 |
| Mailing Address |
112 12th St Princeton WV 24740-2312 |
| Practice Telephone | 3044877275 |
| Mailing Telephone | 3042543131 |
| Mailing Fax Number | 3042543172 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2017-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 733 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
463 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639274921 | Melissa Lilly | Physician Assistant | 1870 Amherst Suite 2b, Winchester, VA 22601 | 2006-09-13 |
| 1881255735 | Melissa Darlene Lilly | Counselor | 1135 N D St, San Bernardino, CA 92410-3523 | 2019-06-21 |
| Street Address |
122 12TH STREET EXT |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215936091 | Carlos Fernandez Delara | Pathology | 122 12th Street Ext, Princeton, WV 24740-2352 | 2005-07-14 |
| 1104286913 | Jessica Moses | Speech-Language Pathologist | 122 12th Street Ext, Princeton, WV 24740-2352 | 2016-03-07 |
| 1669851200 | Darrell W Shrewsbury | Nurse Practitioner | 122 12th Street Ext, Princeton, WV 24740-2352 | 2015-05-28 |
| 1922365089 | Ges Hospitalist Services Inc | Family Medicine | 122 12th Street Ext, Princeton, WV 24740-2352 | 2012-04-13 |
| 1972891265 | Misty Dillow | Nurse Practitioner | 122 12th Street Ext, Princeton, WV 24740-2352 | 2011-07-20 |
| 1558594598 | Heather Leigh Harris | Physician Assistant | 122 12th Street Ext, Princeton, WV 24740-2352 | 2009-08-25 |
| 1598921884 | Margaret L Choate | Nurse Practitioner | 122 12th Street Ext, Princeton, WV 24740-2352 | 2008-08-06 |
| 1235311044 | Princeton Community Hospital Association, Inc. | Psychiatric Unit | 122 12th Street Ext, Princeton, WV 24740-2352 | 2007-12-04 |
| 1447458609 | Brandon L Fain | Physician Assistant | 122 12th Street Ext, Princeton, WV 24740-2352 | 2007-07-10 |
| 1992923783 | Kristin Daveen Bowman | Internal Medicine | 122 12th Street Ext, Princeton, WV 24740-2352 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932571494 | Silpa Shaji | Physician Assistant | 105 Blue Spring Rd, Princeton, NJ 08540-1601 | 2015-10-23 |
| 1407810401 | Beth A Hellstern | Physician Assistant | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-14 |
| 1134760325 | Priya Patel | Physician Assistant | 613 Executive Dr, Princeton, NJ 08540-1528 | 2019-09-30 |
| 1093147688 | Ernestine Malabanan Keh | Physician Assistant | 727 State Rd, Montgomery Internal Medicine Group, Princeton, NJ 08540-1444 | 2013-08-06 |
| 1013240688 | Tabitha E Cox | Physician Assistant | 904 Harrison St, Princeton, WV 24740-3011 | 2009-09-14 |
| 1891937280 | Mona Zimmerman Cohen | Physician Assistant | 100 College Rd W, Princeton, NJ 08540-6604 | 2009-03-31 |
| 1043477987 | Jamie Beth Carosi | Physician Assistant | 403 12th Street Ext, Princeton, WV 24740-2300 | 2008-05-19 |
| 1447458609 | Brandon L Fain | Physician Assistant | 122 12th Street Ext, Princeton, WV 24740-2352 | 2007-07-10 |
| 1215068556 | Rex Andrew Blunck | Physician Assistant | 4000 Tulip Tree Dr, Ss-i, Princeton, IN 47670-2300 | 2007-03-08 |
| 1366580045 | Rachel L Livecchi | Physician Assistant | 419 N Harrison St, Suite 201, Princeton, NJ 08540-3521 | 2007-02-02 |
| Find all providers in PRINCETON | ||||
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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.