Whitney V Lilly, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

201708936NP-PP Issued in OR

Practice address

102 S. Euclid Ave.
Suite 202
Sandpoint, ID 83864-4939

Phone

(208) 263-6876

Fax

(208) 263-2033

NPI assigned

Sep 28, 2017

Last updated

Aug 20, 2020By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wlilly589696@direct.multicare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Internal Medicine Associates, P.a.

  • Internal Medicine Physician
  • Sandpoint, ID
  • NPI 1154361988
  Medicare reassignment NPD
• Lakeshore Health PLLC

  • Internal Medicine Physician
  • Sandpoint, ID
  • NPI 1487380655
  NPD

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1386153633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640550",
            "telephone_number": "855-397-0197",
            "fax_number": "800-272-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S. EUCLID AVE.",
            "address_2": "SUITE 202",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838644939",
            "telephone_number": "208-263-6876",
            "fax_number": "208-263-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15895 SW 72nd Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972247966",
            "country_code": "US",
            "telephone_number": "503-624-5630",
            "fax_number": "503-624-9149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLY",
        "first_name": "WHITNEY",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201708936NP-PP",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "57882",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE BOARD OF NURSING",
            "identifier": "201708936NP-PP",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE BOARD OF NURSING",
            "identifier": "200941379RN",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James B Lewis, DMD
• Nadine M Lewis, LCSW
• Heather P Lien, DPT
• Life Line Resources
• Lifeline Resources (LifeSkills NW)
• Stephanie M Little Brave, LCSW
• Sasha Elise Livingston, LMT
• Loftus Family Dental - Sandpoint PLLC
• Elizabeth R Loyd, MS, LCPC
• Autumn Lukezech

• Nurse Practitioner in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.