MS. MARY D LILLEY (NPI# 1699739979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699739979 |
| Entity Type | Individual |
| Full Name | MS. MARY D LILLEY |
| Other Name | MS. MARY D LILLEY |
| Practice Address |
950 Campbell Ave West Haven CT 06516-2770 |
| Mailing Address |
95 Maplevale Dr Woodbridge CT 06525-1116 |
| Practice Telephone | 2039325711 |
| Practice Fax Number | 2039373457 |
| Mailing Telephone | 2033930826 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2011-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R44024 | CT | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
000513 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093362758 | Mary Lilley | Licensed Practical Nurse | 940 Ga Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2019-08-19 |
| Street Address |
950 CAMPBELL AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011434 | Jacqueline Marie Martin | Nurse Anesthetist, Certified Registered | 950 Campbell Ave, West Haven, CT 06516-2770 | 2005-05-31 |
| 1134728413 | Matthew Thomas Walsh | Physical Therapist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-10-19 |
| 1184221467 | Victoria Leigh Dasilva | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-10-08 |
| 1467069716 | Steven Lemieux | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-29 |
| 1629685581 | Ramandeep Kaur | Optometrist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-25 |
| 1972110864 | Lorena Rivera Mitchell | Social Worker | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-25 |
| 1174139851 | Angela Haeny | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-18 |
| 1225644966 | Neil Bidon | Registered Nurse | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-18 |
| 1952916181 | Courtney Burgazli | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-14 |
| 1316552862 | Amanda Victoria Loomis | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1285186288 | Holly Penkacik | Nurse Practitioner | 687 Campbell Ave, West Haven, CT 06516-3774 | 2016-10-26 |
| 1780948596 | Celina L Cardenas | Nurse Practitioner | 687 Campbell Ave, West Haven, CT 06516-3774 | 2012-06-26 |
| 1629111232 | David M. Stevenson | Nurse Practitioner | 687 Campbell Ave, West Haven, CT 06516-3774 | 2007-02-14 |
| 1396853289 | Linda Accordino | Nurse Practitioner | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427689660 | Sajini M Roy | Nurse Practitioner | 172 Guinea Rd, Monroe, CT 06468-1044 | 2020-01-27 |
| 1073171393 | Sabine Donato Dabady | Nurse Practitioner | 287 Capitol Ave, Waterbury, CT 06705-2407 | 2019-06-01 |
| 1720599541 | Sherifa Bello | Nurse Practitioner | 1333 Burnside Ave Apt A3, East Hartford, CT 06108-1517 | 2017-10-19 |
| 1750808994 | Ronald S. Perpetua | Nurse Practitioner | 107 Bassett Rd, North Haven, CT 06473-1902 | 2017-08-28 |
| 1891247805 | Campbell Medical Care, LLC | Nurse Practitioner | 22 Parkwood Dr, Windsor, CT 06095-3142 | 2016-10-26 |
| 1861745259 | Marguerite Kalowsky Benoit | Nurse Practitioner | 187 Bouton St W, Stamford, CT 06907-1320 | 2012-10-22 |
| 1396977997 | Debra Innes Coyle | Nurse Practitioner | 85 Huckleberry Ln, Southington, CT 06489-4319 | 2009-08-14 |
| 1487727228 | Leeanne E Shaw-quinn | Nurse Practitioner | 30 Hyde Ave Ste 109, Vernon, CT 06066-4503 | 2006-11-17 |
| 1184648925 | Karen S Williams | Nurse Practitioner | 25 Witch Meadow Rd, Salem, CT 06420-3602 | 2006-07-26 |
| 1255382446 | Diane Merkle | Nurse Practitioner | 33 Harborview Ave, Milford, CT 06460-6540 | 2006-05-13 |
| Find all providers with the same taxonomy | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
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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.