Samantha Gueringer Lilley, DNP, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP06818 Issued in LA

Practice address

621 E Miller Ave
Iowa, LA 70647

Phone

(337) 884-4890

Fax

(337) 548-9176

NPI assigned

Apr 26, 2012

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2019.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1336407493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E MILLER AVE",
            "city": "IOWA",
            "state": "LA",
            "postal_code": "706474008",
            "telephone_number": "337-358-2701",
            "fax_number": "337-358-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E MILLER AVE",
            "city": "IOWA",
            "state": "LA",
            "postal_code": "70647",
            "telephone_number": "337-884-4890",
            "fax_number": "337-548-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLEY",
        "first_name": "SAMANTHA",
        "middle_name": "GUERINGER",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTIONER",
            "identifier": "AP06818",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iowa Quickcare LLC
• Iowa Therapy Group LLC
• Lake Charles Medical Services, Inc
• Ciera Leboeuf, M.ED., PLPC
• Kenneth W. Leger, MD
• Jess Andrew Lynn
• Darren Miller, P.D.
• Jaylin Barkley Miller, DNP, APRN, FNP-C
• Laureal L Miller, L.O.T.R
• New Century Health AIDS and Equipment

• All providers in Iowa, LA
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.