Active NPI
Noel Arthur Lilly, M.S. A.T.,C.
- Athletic Trainer
- Charleston, WV
National Provider Identifier
1619011558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 200 Tracy Way
Charleston, WV 25311-1258 - Phone
- (304) 388-4900
- Fax
- (304) 388-4910
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
200 Tracy Way
Charleston, WV 25311-1258
Mailing address
38 Pahlhurst CT
Parkersburg, WV 26101-7625
Phone (304) 863-5810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camc Sports Medicine | Past | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1588875595
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619011558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 PAHLHURST CT",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261017625",
"telephone_number": "304-863-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TRACY WAY",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253111258",
"telephone_number": "304-388-4900",
"fax_number": "304-388-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLY",
"first_name": "NOEL",
"middle_name": "ARTHUR",
"credential": "M.S. A.T.,C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.