LILY CHAN (NPI# 1912370222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912370222 |
Entity Type | Individual |
Full Name | LILY CHAN |
Credential | FNP |
Practice Address |
140 Tony Diaz Way Woodland CA 95776-5194 |
Practice Telephone | 5306685216 |
Practice Fax Number | 5306685217 |
Mailing Telephone | 5306685216 |
Mailing Fax Number | 5306685217 |
Enumeration Date | 2015-11-09 |
Last Update Date | 2015-11-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
367450 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679873103 | Lily Chan | Occupational Therapist | 2100 Bronx Park E, Apt. 3b, Bronx, NY 10462-2265 | 2010-11-01 |
1336795277 | Lily Chan | Chiropractor | 805 W La Veta Ave, Orange, CA 92868-3901 | 2019-08-15 |
1609308956 | Lily Chan | Student in an Organized Health Care Education/Training Program | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2017-03-28 |
1962950576 | Lily Chan | Pharmacist | 350 Lennon Ln, Walnut Creek, CA 94598-2419 | 2016-09-13 |
1073868659 | Lily Ho Yan Chan | Registered Nurse | 1520 Stockton St, San Francisco, CA 94133-3354 | 2012-07-19 |
1942321047 | Lily Chan | Dentist | 485 New Brunswick Ave, Suite 200, Perth Amboy, NJ 08861-3675 | 2007-04-03 |
1972624187 | Lily S Chan | Nurse Practitioner | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2007-04-03 |
Street Address |
140 TONY DIAZ WAY |
City | WOODLAND |
State | CA |
Zip Code | 95776-5194 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265736102 | Kristin Mae Davey | Physical Therapist | 1423 Roosevelt Drive, Woodland, CA 95776 | 2011-01-07 |
1669784484 | Suzan Jane Motooka | Licensed Vocational Nurse | 991 Hoppin Ct, Woodland, CA 95776 | 2010-07-09 |
1104157478 | Gill and Ghazal Dental Corporation | Dentist | 2041 Bronze Star Drive Suite 100, Woodland, CA 95776 | 2010-01-26 |
1962640284 | Amber Christine Mitchell | Behavioral Analyst | 2100 5th St., Davis, CA 95776 | 2009-01-23 |
1730348764 | Woodland Residential Services | Nursing Facility/Intermediate Care Facility | 40145 Best Ranch Road, Woodland, CA 95776 | 2008-06-05 |
1376716845 | Steven William Thomson | Dentist | 825 East St #121, Woodland, CA 95776 | 2008-04-07 |
1902081714 | Costco Wholesale Corporation | Pharmacy | 2299 Bronze Star Dr, Woodland, CA 95776 | 2007-12-31 |
1609095322 | Woodland Hearing Aid Services Inc | Specialist | 1837 E Gibson Rd Suite K, Woodland, CA 95776 | 2007-04-24 |
1114099157 | Kali Javon Leonard | Optometrist | 421 B Pioneer Ave, Woodland, CA 95776 | 2006-11-14 |
1609271485 | Victoria Leigh Aphailee | Registered Nurse | 1975 Maxwell Ave, Apt# C114, Woodland, CA 95776 | 2014-10-23 |
Find all providers in zip 95776 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
1326399189 | Kimberly A Kelsey | Nurse Practitioner | 1251 Lewis River Rd, Suite D, Woodland, WA 98674-9265 | 2012-09-19 |
1457409807 | Jerry Sullivan | Nurse Practitioner | 120 Market Street, Woodland, MS 39776 | 2007-01-08 |
1285629428 | Kristin Diane Rickelman | Nurse Practitioner | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2005-09-14 |
1750995346 | Jennifer Manibot | Nurse Practitioner | 215 W Beamer St, Woodland, CA 95695-2510 | 2020-09-02 |
1710528914 | Crystal Che Williams | Nurse Practitioner | 1251 Lewis River Rd Ste D, Woodland, WA 98674-9203 | 2019-09-30 |
1679068753 | Brenna Marie Chandler | Nurse Practitioner | 1251 Lewis River Rd Ste D, Woodland, WA 98674-9203 | 2018-06-29 |
1801380803 | Gurpreet Kaur Malhi | Nurse Practitioner | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2018-06-21 |
1114426327 | Uyen Phuong Nguyen-sharma | Nurse Practitioner | 632 W Gibson Rd, Woodland, CA 95695 | 2018-02-03 |
1497283212 | Hillary Williams | Nurse Practitioner | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2017-05-24 |
Find all providers in WOODLAND |
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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.