Lilia Neichtadt, RN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

4704278781 Issued in MI

Practice address

716 Stevens Ave
716 Stevens Ave
Portland, ME 04103-2656

Phone

(207) 221-4516

NPI assigned

Jul 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1184077539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 GRANT ST",
            "address_2": "APT 26",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012154",
            "telephone_number": "616-633-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 STEVENS AVE",
            "address_2": "716 STEVENS AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032656",
            "telephone_number": "207-221-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEICHTADT",
        "first_name": "LILIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4704278781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Sue Neault, P.T.
• Lisa N Neavyn, M.D.
• Mark J. Neavyn, MD
• Cassandra Nedwell, LMSW-CC
• Marisol M Needle, LCSW
• Ian R Neilson, M.D.
• William Woodward Nelligan, PA
• Richard Hunter Nellson, DDS
• Erin Nelsen, M.A.,CCC-SLP
• Alexandra Nelson, DO

• Student in an Organized Health Care Education/Training Program in Portland, ME
• Providers in Portland, ME by specialty
• Student in an Organized Health Care Education/Training Program in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.