Individual provider Active NPI

Lilly Esther Fotiadis, FNP

  • Family Nurse Practitioner
  • Soddy Daisy, TN
National Provider Identifier
1144250077
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11234 Issued in TN
Practice address
9826 Hixson Pike
Soddy Daisy, TN 37379-3517
Phone
(423) 847-6451
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9237126 FL
Family Nurse Practitioner 363LF0000X 11234 TN Primary

Addresses

Primary practice location

9826 Hixson Pike
Soddy Daisy, TN 37379-3517

Mailing address

9826 Hixson Pike
Soddy Daisy, TN 37379-3527
Phone (423) 847-6451

Other identifiers 2

IdentifierTypeStateIssuer
308421300MedicaidFL
F0705179OtherFLAANP CERTIFICATION

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9237126FLMDFamily Nurse Practitioner
11234TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Health Services Inc Past Accepting new patients
Emergency Physicians of Naples PLLC Past Accepting new patients
Anchor Health Centers PA Past Accepting new patients
Crossroads Urgent Care PLLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1144250077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9826 HIXSON PIKE",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373793527",
            "telephone_number": "423-847-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9826 HIXSON PIKE",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373793517",
            "telephone_number": "423-847-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOTIADIS",
        "first_name": "LILLY",
        "middle_name": "ESTHER",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9237126",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "11234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308421300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION",
            "identifier": "F0705179",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soddy Daisy, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.