KEVIN MICHAEL LILLIS (NPI# 1255688263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255688263 |
| Entity Type | Individual |
| Full Name | KEVIN MICHAEL LILLIS |
| Credential | BSN, RN |
| Practice Address |
2 Saint Vincent Cir Little Rock AR 72205-5423 |
| Mailing Address |
1001 Mcnutt Rd Lot 33 Conway AR 72034-9343 |
| Practice Telephone | 5015522525 |
| Mailing Telephone | 7068254856 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
R88599 | AR | Nursing Service Providers |
| Street Address |
2 SAINT VINCENT CIR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684431 | St Vincent Infirmary Medical Center | General Acute Care Hospital | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2005-07-22 |
| 1023618790 | Aaron Leach | Physical Therapist | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-10-30 |
| 1659982411 | Holly Marie Moore | Nurse Practitioner | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-08-13 |
| 1396365227 | Eric Louis Sessions | Nurse Anesthetist, Certified Registered | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-04-21 |
| 1417577420 | Cassandra Maureen Beaumont | Registered Nurse | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-04-20 |
| 1992325922 | Josh Finley Edwards | Registered Nurse | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-04-20 |
| 1316566847 | Alex William Ebmeyer | Nurse Anesthetist, Certified Registered | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-04-14 |
| 1447819487 | Taliah Ragland | Nurse Practitioner | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-06-12 |
| 1992364913 | Katie Vu | Nurse Practitioner | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-06-12 |
| 1437712668 | Mario Baldassaro | Nurse Anesthetist, Certified Registered | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083817381 | Evelyn Boggs | Registered Nurse | John L. Mccellan Memorial Veterans Hospital, 4300 West 7th Street, Little Rock, AR 72205 | 2007-06-06 |
| 1518202233 | Sheryl Ann Lallemand | Registered Nurse | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2012-12-06 |
| 1235462938 | Douglas Lee Riffel | Registered Nurse | 4300 W 7th St, Little Rock, AR 72205-5446 | 2009-09-12 |
| 1851580567 | Rebecca Erin Bodemann-mccarley | Registered Nurse | 800 Marshall St, C/o Arkansas Children's Hospital Heart Center, Little Rock, AR 72202-3510 | 2007-10-18 |
| 1669594479 | Sherocko Rieshell Gatling-james | Registered Nurse | 4301 W Markham St, Little Rock, AR 72205-7101 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700306701 | Jessica Michelle Curtis | Registered Nurse | 409 Mullins St, Emerson, AR 71740 | 2017-06-21 |
| 1396288734 | Stacy Lee Kennigseder | Registered Nurse | 5 Salome St, Fort Smith, AR 72901-6546 | 2016-12-01 |
| 1457747388 | Scott King | Registered Nurse | 2715 Meadow Vw Apt 3, Fayetteville, AR 72704-9352 | 2015-04-07 |
| 1720647357 | Ashley L Moore | Registered Nurse | 3000 Medical Center Pkwy, Bentonville, AR 72712-3217 | 2019-06-07 |
| 1225520356 | Jade Leigh Vinson | Registered Nurse | 2900 Medical Center Pkwy Ste 110, Bentonville, AR 72712-3212 | 2018-06-04 |
| 1003343146 | Aliya Fidai | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2017-05-19 |
| 1104292465 | Flem-flam Aaron Flemister | Registered Nurse | 1015 Unity Rd, Crossett, AR 71635-9443 | 2015-08-20 |
| 1326425919 | Kristyn Lambert | Registered Nurse | 1002 Schneider Dr Ste 104, Malvern, AR 72104-4823 | 2015-05-03 |
| 1184868457 | Shawna Kay Digby | Registered Nurse | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2009-04-29 |
| 1174745004 | Jeanine Stable | Registered Nurse | 2400 S 48th St, Springdale, AR 72762 | 2007-05-02 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.