Active NPI
Lily Watts
- Developmental Therapist
- Washington, IL
National Provider Identifier
1205514353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 102 Lake St
Washington, IL 61571-3132 - Phone
- (309) 645-0200
- NPI assigned
- Jul 10, 2023
- Last updated
- Jul 10, 2023
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | NU | Primary |
Addresses
Primary practice location
102 Lake St
Washington, IL 61571-3132
Mailing address
102 Lake St
Washington, IL 61571-3132
Phone (309) 645-0200
Other names 1
- Mrs. Lily Plummer
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1205514353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 LAKE ST",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615713132",
"telephone_number": "309-645-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 LAKE ST",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615713132",
"telephone_number": "309-645-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "LILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILY",
"last_name": "PLUMMER",
"prefix": "MRS.",
"code": "2",
"type": "Professional Name"
}
]
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- Jennifer M Wilson, OD
- Jill Wirth-Rissman, MD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.