MR. LARRY LEE LILLEY III (NPI# 1700100146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700100146 |
| Entity Type | Individual |
| Full Name | MR. LARRY LEE LILLEY III |
| Credential | NNP |
| Practice Address |
627 Aragona Dr Vinton VA 24179-2807 |
| Practice Telephone | 5403421004 |
| Mailing Telephone | 5403421004 |
| Enumeration Date | 2010-03-14 |
| Last Update Date | 2010-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
0001190201 | VA | Nursing Service Providers |
| Street Address |
627 ARAGONA DR |
| City | VINTON |
| State | VA |
| Zip Code | 24179-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255721320 | Lucas Vance | Specialist/Technologist | 1008 Wyndham Dr., Vinton, VA 24179 | 2015-01-28 |
| 1093114787 | Danielle Powell | Specialist/Technologist | 915 Norbourne Avenue, Vinton, VA 24179 | 2014-08-19 |
| 1083046593 | Jessica Stallard | Social Worker | 1120 Bypass Rd, Vinton, VA 24179 | 2013-08-07 |
| 1639375629 | Kenneth J Miller | Chiropractor | 2445 East Washington Ave, Suite B, Vinton, VA 24179 | 2007-06-26 |
| 1659572972 | R. Kevin Greenway, D.d.s. Ralph N. Greenway, D.d.s., P.C. | Dentist | 614 East Washington Avenue, Vinton, VA 24179 | 2007-05-31 |
| 1265651749 | Ralph N. Greenway | Dentist | 614 E.washington Ave., Vinton, VA 24179 | 2007-04-24 |
| 1386653921 | Jtw Pharmacy Inc | Pharmacy | 15818 Stewartsville Rd, Vinton, VA 24179 | 2006-08-05 |
| 1033139944 | Pharmerica Drug Systems LLC | Pharmacy | 9386 Hardy Road, Vinton, VA 24179 | 2006-07-20 |
| 1619996261 | Victor S. Skaff Jr. | Dentist | 1337 Hardy Road, Vinton, VA 24179 | 2006-07-18 |
| 1396728317 | Jefferson Kirkland Teass | Chiropractor | 300 Virginia Ave, Vinton, VA 24179 | 2005-11-23 |
| Find all providers in zip 24179 | ||||
| Taxonomy Code | 163WN0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neonatal Intensive Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271544 | Sarah Elizabeth Collins | Registered Nurse | 43823 Kingston Station Ter, Ashburn, VA 20148-2421 | 2019-12-05 |
| 1083186381 | Megan Lowers Scanlan | Registered Nurse | 19500 Sandridge Way Ste 280, Leesburg, VA 20176-3690 | 2018-12-26 |
| 1770104556 | Elizabeth Janine Hansen | Registered Nurse | 8640 Sudley Rd Ste 203, Manassas, VA 20110-4404 | 2020-05-03 |
| 1669008827 | Tamara Kennedy | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-03-19 |
| 1144864166 | Victoria Isabel Tamayo | Registered Nurse | 7101 Jahnke Rd, Richmond, VA 23225-4044 | 2019-11-01 |
| 1841840725 | Taylor Hoffman Motichka | Registered Nurse | 1840 Amherst St, Winchester, VA 22601-2808 | 2019-09-12 |
| 1972077915 | Hannah Salter | Registered Nurse | 6355 Walker Ln Ste 401, Alexandria, VA 22310-3250 | 2019-01-13 |
| 1518442904 | Taneisha Chanel Alvarez | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2018-10-01 |
| 1952883902 | Kirstina Mariel Crizaldo | Registered Nurse | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2018-09-05 |
| 1235622770 | Holly H Davidson | Registered Nurse | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2018-06-09 |
| Find all providers with the same taxonomy | ||||
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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.