Elizabeth Lillenurms

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11015096 Issued in FL

Practice address

8001 9TH St N
Saint Petersburg, FL 33702-4109

Phone

(727) 577-6888

NPI assigned

Mar 22, 2016

Last updated

Nov 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836

  AZ, FL

  Medicare reassignment Care Compare group NPD
• Pinnacle Men's Health LLC

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1578008629
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1497117212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 9TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337024109",
            "telephone_number": "727-577-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 9TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337024109",
            "telephone_number": "727-577-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3210 E Union Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850503223",
            "country_code": "US",
            "telephone_number": "602-788-4793 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 E Camelback Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850163902",
            "country_code": "US",
            "telephone_number": "602-277-1727 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3210 E Union Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850503223",
            "country_code": "US",
            "telephone_number": "602-788-4793 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6750 W Thunderbird Rd",
            "address_2": "Suite B-104",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853815026",
            "country_code": "US",
            "telephone_number": "623-374-4935",
            "fax_number": "623-388-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLENURMS",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8554",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Pediatric Therapy Partners
• Evan Ligon
• Reginald Brian Ligon, D.D.S.
• Bernard Roc Lilavois
• Diahan Michelle Lilavois, FNP-BC
• Jeanette Dawn Lilly, P.T.
• Van Lilly, M.D.
• Charissa Lim, MS, RDN, LDN
• David S Lim, D.O.
• Clarissa Lime

• Family Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.
• 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.