NPIMap

Individual provider Active NPI

Llilly Brister-Lewis

  • Nursing Care Agency
  • Saint Louis, MO
National Provider Identifier
1184168320
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
025722 Issued in MO
Practice address
3470 Hampton Ave
101-B
Saint Louis, MO 63139-1946
Phone
(314) 620-7905
Fax
(314) 487-5830
NPI assigned
Dec 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 025722 MO Primary

Addresses

Primary practice location

3470 Hampton Ave
101-B
Saint Louis, MO 63139-1946

Mailing address

3470 Hampton Ave
101-B
Saint Louis, MO 63139-1946
Phone (314) 620-7905

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
025722MOMDNursing Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Lilly's Senior Services LLC Current Accepting new patients
Lillys Senior Care LLC Current Accepting new patients

Organizations & group practices 2

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": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1184168320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 HAMPTON AVE",
            "address_2": "101-B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391946",
            "telephone_number": "314-620-7905",
            "fax_number": "314-487-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 HAMPTON AVE",
            "address_2": "101-B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391946",
            "telephone_number": "314-620-7905",
            "fax_number": "314-487-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTER-LEWIS",
        "first_name": "LLILLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": "025722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.