Individual provider Active NPI

Lillian Kay Willett

  • Chiropractor
  • Apple Valley, MN
National Provider Identifier
1477403319
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7406 Issued in MN
Practice address
7300 147TH St W Ste 101
Apple Valley, MN 55124-4515
Phone
(612) 508-2454
NPI assigned
Jan 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7406 MN Primary

Addresses

Primary practice location

7300 147TH St W Ste 101
Apple Valley, MN 55124-4515

Mailing address

7300 147TH St W Ste 101
Apple Valley, MN 55124-4515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224002318 MN Practitioner - Chiropractic 6800377284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7300 147TH St W
Suite 101
Apple Valley, MN 55124-4515

8101 Normandale Lake Blvd Unit
Suite 206
Bloomington, MN 55437-4105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7406MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeway Chiropractic and Wellness LLC Chiropractor CurrentSince Feb 9, 2026 Accepting new patients

Locations

7300 147th St W
Ste 301
Saint Paul, MN 55124
Phone (612) 508-2454

7300 147th St W
Ste 101
Saint Paul, MN 55124
Phone (612) 251-7909

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1477403319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 101",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 101",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244515",
            "telephone_number": "612-508-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "LILLIAN",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.