JENNIFER NICOLE LILLY (NPI# 1669080065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669080065 |
| Entity Type | Individual |
| Full Name | JENNIFER NICOLE LILLY |
| Practice Address |
1664 Broadway El Cajon CA 92021-5201 |
| Practice Telephone | 6195798685 |
| Mailing Telephone | 6195798685 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8609 Lake Murray Blvd Unit 8, San Diego, CA 921192841 | 6197722294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568724 | Jennifer Leigh Lilly | Recreation Therapist | 1400 Blackhorse Hill Rd # 135, Coatesville, PA 19320-2040 | 2020-11-04 |
| 1023529195 | Jennifer Afton Lilly | Counselor | 1822 E. Hwy 54, Suite 300, Durham, NC 27713 | 2017-10-17 |
| 1730686874 | Jennifer Lilly | Counselor | 3409a Urbana Pike, Frederick, MD 21704-7772 | 2018-04-06 |
| 1326339011 | Jennifer Lilly | Counselor | 1947 Divisadero St, Suite 3, San Francisco, CA 94115-2532 | 2011-04-28 |
| 1437480696 | Jennifer Denise Lilly | Counselor | 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542-2829 | 2010-01-27 |
| 1306098900 | Jennifer Lilly | Registered Nurse | 400 Neville St, Beckley, WV 25801-4511 | 2008-10-15 |
| Street Address |
1664 BROADWAY |
| City | EL CAJON |
| State | CA |
| Zip Code | 92021-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760556831 | Mary P Grossman | Counselor | 1664 Broadway, El Cajon, CA 92021-5201 | 2006-11-20 |
| 1578160008 | Janai Russell | Licensed Vocational Nurse | 1664 Broadway, El Cajon, CA 92021-5201 | 2020-10-07 |
| 1427661370 | Parva Nouri | Counselor | 1664 Broadway, El Cajon, CA 92021-5201 | 2020-08-28 |
| 1710599790 | Julie K Neill | Student in an Organized Health Care Education/Training Program | 1664 Broadway, El Cajon, CA 92021-5201 | 2020-08-20 |
| 1508478769 | Susana Villalpando | Counselor | 1664 Broadway, El Cajon, CA 92021-5201 | 2020-08-19 |
| 1528678729 | Sally Hana | Student in an Organized Health Care Education/Training Program | 1664 Broadway, El Cajon, CA 92021-5201 | 2020-08-03 |
| 1851901029 | Whitney Lyn Roque | Student in an Organized Health Care Education/Training Program | 1664 Broadway, El Cajon, CA 92021-5201 | 2020-08-03 |
| 1477162600 | Augure Thomas | Licensed Vocational Nurse | 1664 Broadway, El Cajon, CA 92021-5201 | 2020-07-23 |
| 1730707993 | Jennifer Sandrock | Student in an Organized Health Care Education/Training Program | 1664 Broadway, El Cajon, CA 92021-5201 | 2020-07-13 |
| 1275154064 | Amelia T Salvador | Student in an Organized Health Care Education/Training Program | 1664 Broadway, El Cajon, CA 92021-5201 | 2020-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1891331021 | Medevac Inc | Ambulance | 8025 Tone Lane, El Cajon, CA 92021 | 2019-11-22 |
| 1760024095 | San Diego Health Alliance, Inc. | Clinic/Center | 1625 East Main Street, El Cajon, CA 92021 | 2019-10-08 |
| 1295388932 | Coleen Stacie Cobbs | Social Worker | 1013 Greta Street, El Cajon, CA 92021 | 2019-07-22 |
| 1144744475 | Sarah Kala | Pharmacist | 505 N Mollison Ave #102, El Cajon, CA 92021 | 2017-07-28 |
| 1699139816 | Mayra Aranda | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2016-04-13 |
| 1942603436 | Scott Crusey | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2014-09-29 |
| 1104254317 | Naimh Martin | Counselor | 1630 E Main Street, El Cajon, CA 92021 | 2013-10-25 |
| 1386875540 | Jacqueline Vu Luong | Marriage & Family Therapist | 1000 Broadway #100, El Cajon, CA 92021 | 2009-08-05 |
| 1740444264 | Peter Morhan Sun | General Practice | 7957 Bevin Lane, El Cajon, CA 92021 | 2008-07-14 |
| Find all providers in zip 92021 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1285253179 | Amanda Daoud | Student in an Organized Health Care Education/Training Program | 1542 Vista Sierra Dr, El Cajon, CA 92019-3583 | 2020-04-10 |
| 1215562244 | Silivya Hana | Student in an Organized Health Care Education/Training Program | 436 S Magnolia Ave Ste 101&201, El Cajon, CA 92020-5237 | 2020-03-10 |
| 1225680572 | Rana Habboush | Student in an Organized Health Care Education/Training Program | 1483 Gustavo St Unit B, El Cajon, CA 92019-3286 | 2019-07-16 |
| 1972008050 | Ahmed Al Ani | Student in an Organized Health Care Education/Training Program | 1652 Hilton Head Ct Apt 2188, El Cajon, CA 92019-4529 | 2018-03-29 |
| 1518327618 | William Edward Randall Iv | Student in an Organized Health Care Education/Training Program | 1400 N. Jonson Ave., Suite 101, El Cajon, CA 92020 | 2016-03-02 |
| 1548431331 | Mark Christopher Ashley | Student in an Organized Health Care Education/Training Program | 12044 Royal Rd, Space 125, El Cajon, CA 92021-1454 | 2008-03-19 |
| 1558545483 | Victoria Julia Rivera | Student in an Organized Health Care Education/Training Program | 927 E Chase Ave, El Cajon, CA 92020-7607 | 2007-12-27 |
| 1043398530 | Marvin Roberson | Student in an Organized Health Care Education/Training Program | 1000 Broadway Ste 100, El Cajon, CA 92021-4899 | 2006-11-01 |
| 1902419435 | Ronak Elda | Student in an Organized Health Care Education/Training Program | 436 S Magnolia Ave, El Cajon, CA 92020-5237 | 2020-08-25 |
| Find all providers in EL CAJON | ||||
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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.