Eileen Llewellyn, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

115663 Issued in MO

Practice address

1443 N Robberson Ave
# 200
Springfield, MO 65802-3840

Phone

(417) 269-8061

Fax

(417) 269-8087

NPI assigned

Sep 26, 2006

Last updated

Jan 8, 2013By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1306947692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-8061",
            "fax_number": "417-269-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 N ROBBERSON AVE",
            "address_2": "# 200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023840",
            "telephone_number": "417-269-8061",
            "fax_number": "417-269-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLEWELLYN",
        "first_name": "EILEEN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "115663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MO",
            "identifier": "108494",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423269513",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Litton & Giddings Radiological Associates PC
• Karen Liu, DDS
• Shan-Liang Liu, MD
• Luke Livgren, FNP-C, RN
• Alanna Livingston
• Megan Breann Lloyd, CPNP
• Amelia Lo, LMSW
• Frederick N Lobati, M.D.
• Raymond Leslie Lobins, DO
• Tahra S Lock, NP-C

• Pediatric Nurse Practitioner in Springfield, MO
• Providers in Springfield, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.