Active NPI
Anne Marie Lilley, RN, MSN, FNP
- Family Nurse Practitioner
- Fairbanks, AK
National Provider Identifier
1043243470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ANP 372
- Practice address
- 1275 Sadler Way
#101
Fairbanks, AK 99701-3171 - Phone
- (907) 361-6370
- Fax
- (907) 361-6372
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ANP 372 | AK | Primary |
Addresses
Primary practice location
1275 Sadler Way
#101
Fairbanks, AK 99701-3171
Mailing address
PO Box 82868
Fairbanks, AK 99708-2868
Phone (907) 458-7115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ANP 372 | AK | MD | Family Nurse Practitioner |
Interoperability endpoints
- anne.lilley.1@15989.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1043243470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82868",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997082868",
"telephone_number": "907-458-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 SADLER WAY",
"address_2": "#101",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013171",
"telephone_number": "907-361-6370",
"fax_number": "907-361-6372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLEY",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "RN, MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "ANP 372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.