Lilly Anne Combs

Primary specialty

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

Practice address

561 Wynnfield LN
Farmington, MO 63640-7698

Phone

(573) 705-8699

NPI assigned

Dec 27, 2024

Last updated

Dec 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1225846801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 WYNNFIELD LN",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407698",
            "telephone_number": "573-705-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 WYNNFIELD LN",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407698",
            "telephone_number": "573-705-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "LILLY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wayne Coleman, DO
• Jeffrey W Coleman, C.R.N.A.
• Karen Joyce Coleman, DO
• Columbia Street Residential Care Center, LLC
• Kimberly D Combs, NP
• Kelsey Comer
• Community Manor, LLC
• Community Manor, LLC (Community Manor)
• Community Orthopedics & Sports Medicine, PC
• Complex Healthcare of Farmington LLC

• Student in an Organized Health Care Education/Training Program in Farmington, MO
• Providers in Farmington, MO by specialty
• Student in an Organized Health Care Education/Training Program in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.