Loretta Lilly

Primary specialty

SpecialistTaxonomy code 174400000X

License

OTA213 Issued in AR

Practice address

1835 Grant Ave
Jonesboro, AR 72401-6155

Phone

(870) 974-9114

NPI assigned

Jun 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Kidspot Jackson County Inc

  • Speech-Language Pathologist
  • Tuckerman, AR
  • NPI 1376256875
  NPD (past)
• Kidspot Jackson County Inc

  • Multi-Specialty Clinic/Center
  • Tuckerman, AR
  • NPI 1427833219
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1497795967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 GRANT AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016155",
            "telephone_number": "870-974-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 GRANT AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016155",
            "telephone_number": "870-974-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "LORETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "OTA213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138317721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Light'S Chiropractic Health Center
• Lighthouse Counseling Center, PLC
• Halle Katherine Liles, MCD, CF-SLP
• Marilyn F Liles, LPN
• Jordan Liljenquist, CRNA
• Lincare Inc
• Amber L. Lindley, MCD, CF-SLP
• Bobby Lindsey
• Caroline Lira
• Brooke Little, MCDCFSLP

• Specialist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.