Lily Namanworth, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

383034 Issued in NY

Practice address

49 Forest Rd
Monroe, NY 10950-2923

Phone

(845) 782-3242

NPI assigned

Dec 28, 2022

Last updated

Dec 28, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aizer Health , Inc.

  • Federally Qualified Health Center (FQHC)
  • Monroe, NY
  • NPI 1063480218
  NPD (past)

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1487367066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 HUDSON MANOR TER APT 6AB",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631137",
            "telephone_number": "347-572-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 FOREST RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502923",
            "telephone_number": "845-782-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMANWORTH",
        "first_name": "LILY",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Muller, CCC-SLP
• Bonnie A Muller, D.O.
• Mydesh Inc (Monroe Pharmacy)
• Madeleine Myers, NP
• Jayakumar Vikraman Nair, DPT
• Angela A Nardo, MS-CCC-SLP
• Georgiana Nastu
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Meghan Negron
• Nancy Neiditz, LPT

• Pediatric Nurse Practitioner in Monroe, NY
• Providers in Monroe, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.