Lillie Rizack, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

MW008589L Issued in PA

Practice address

34TH and Civic Center Blvd
The Children'S Hospital of Philadelphia
Philadelphia, PA 19104

Phone

(267) 425-6900

NPI assigned

Dec 21, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Children'S Surgical Associates LTD

  • Pediatric Surgery Physician
  • Philadelphia, PA
  • NPI 1760562581
  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1265418271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6938 WEATHAM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192519",
            "telephone_number": "267-471-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34TH AND CIVIC CENTER BLVD",
            "address_2": "THE CHILDREN'S HOSPITAL OF PHILADELPHIA",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "267-425-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZACK",
        "first_name": "LILLIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW008589L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001814185",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverview Surgery Center at the Navy Yard LP
• Riverwards Occupational Medicine and Wellness Center, Inc
• Christopher Riviello, DO
• Julie Ann Riviello, OT
• Ralph Riviello, M.D.
• Adam Ahmed Shon-Wei Rizk
• Sanaa Rizk, MD
• Allison Rizol
• Tahira Rizvi, DMD
• Farsha Rizwan, MD

• Advanced Practice Midwife in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Advanced Practice Midwife in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.