Restore Abundant Health LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

RESTORE ABUNDANT HEALTH LLC

Practice address

3901 Bear Creek Blvd
Bear Creek Township, PA 18702-9752

Phone

(570) 904-2300

Fax

(570) 904-2302

NPI assigned

Apr 6, 2026

Organization subpart

No

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

Authorized official

Name

Stephanie Lilly, CRNPNPI 1285101592

Title

Owner/Nurse Practitioner

Phone

(570) 574-4611

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Lilly, CRNP

  • Adult Health Nurse Practitioner
  • Bear Creek Township, PA
  • NPI 1285101592
  NPD Authorized official

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1609718220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BEAR CREEK BLVD",
            "city": "BEAR CREEK TOWNSHIP",
            "state": "PA",
            "postal_code": "187029752",
            "telephone_number": "570-904-2300",
            "fax_number": "570-904-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAR CREEK BLVD",
            "city": "BEAR CREEK TOWNSHIP",
            "state": "PA",
            "postal_code": "187029752",
            "telephone_number": "570-904-2300",
            "fax_number": "570-904-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE ABUNDANT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "570-574-4611",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bear Creek Community Charter School
• Caitlin Ann Casey, LAT, ATC
• Geriatric Research & Consulting Group LLC
• Stephanie Lilly, CRNP
• Leah Marie Popple, PSY.D.
• Robin A Rodeghiero
• Amanda L Sekusky, D.O.
• Justin D Shiver
• Sharon Washko
• Wilkes Barre Behavioral Hospital Company LLC

• All providers in Bear Creek Township, PA
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.