MS. JUDITH ANN LILJA (NPI# 1770590127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770590127 |
| Entity Type | Individual |
| Full Name | MS. JUDITH ANN LILJA |
| Credential | NP |
| Practice Address |
6931 W Sunrise Blvd Plantation FL 33313-4406 |
| Mailing Address |
2112 S Cypress Bend Dr Apt 102 Pompano Beach FL 33069-4452 |
| Practice Telephone | 9545836200 |
| Mailing Telephone | 9549721087 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
3196012 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | P00011953 | 01 |
| FL | RR MEDICARE | P00011954 | 01 |
| FL | BLUE SHIELD | Y028H | 01 |
| Street Address |
6931 W SUNRISE BLVD |
| City | PLANTATION |
| State | FL |
| Zip Code | 33313-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710933916 | Manor Care of Plantation Fl LLC | Skilled Nursing Facility | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2006-05-26 |
| 1871130559 | Daniel Botros | Physical Therapist | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2019-12-02 |
| 1528610748 | James Hoggard | Physical Therapist | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2019-07-09 |
| 1114493020 | Emmanuelle Cherenfant Lully | Occupational Therapy Assistant | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2018-10-17 |
| 1356822472 | Karen King-payne | Physical Therapist | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2018-08-27 |
| 1043791593 | Tiffany Harris | Occupational Therapy Assistant | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2018-08-23 |
| 1881175552 | Lyna Dupuy | Physical Therapy Assistant | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2018-08-22 |
| 1336620970 | Mala Bhangu Panjabi | Speech-Language Pathologist | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2018-08-22 |
| 1790266476 | Donville Ludlo Jones | Physical Therapist | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2018-08-22 |
| 1881175495 | Elizabeth Jackie Baguidy-eugene | Physical Medicine & Rehabilitation | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2018-08-22 |
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|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083259725 | Alex Reza Daeisadeghi | Nurse Practitioner | 1600 Sw 78th Ave Apt 322, Plantation, FL 33324-3394 | 2019-11-15 |
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| 1588074686 | Husna Oleed | Nurse Practitioner | 40 Nw 76th Ave, Apt # 104, Plantation, FL 33324-2040 | 2014-04-29 |
| 1598009748 | Ernestine Wielandt | Nurse Practitioner | 9081 Nw 13th St, Plantation, FL 33322-4915 | 2012-11-11 |
| 1922658715 | Kenisha Lanay Turner | Nurse Practitioner | 350 Nw 84th Ave Ste 200b, Plantation, FL 33324-1817 | 2019-09-13 |
| 1255759759 | Anya Randle-colclough | Nurse Practitioner | 8200 W Sunrise Blvd Bldg C, Plantation, FL 33322-5426 | 2014-04-01 |
| 1700196839 | Anabel Cento | Nurse Practitioner | 1776 N Pine Island Rd Ste 106, Plantation, FL 33322-5200 | 2010-10-07 |
| 1396908190 | Dana J Mehra | Nurse Practitioner | 350 N Pine Island Rd, Suite 302, Plantation, FL 33324-1849 | 2008-07-02 |
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| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
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| City | PLANTATION |
| Zip Code | 33313 |
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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.