Lilli Ann Jeffrey-Smith, PH.D.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

5001 American Blvd W Ste 980
Biofeedback Training and Treatment Center, Inc
Bloomington, MN 55437-1164

Phone

(952) 893-9400

Fax

(952) 698-3532

NPI assigned

Mar 30, 2007

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Biofeedback Training and Treatment Center, Inc.

  • Specialist
  • Bloomington, MN
  • NPI 1164557799
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1659491900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 AMERICAN BLVD W STE 980",
            "address_2": "BIOFEEDBACK TRAINING AND TREATMENT CENTER, INC",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371164",
            "telephone_number": "952-893-9400",
            "fax_number": "952-698-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 AMERICAN BLVD W STE 980",
            "address_2": "BIOFEEDBACK TRAINING AND TREATMENT CENTER, INC",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371164",
            "telephone_number": "952-893-9400",
            "fax_number": "952-698-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY-SMITH",
        "first_name": "LILLI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "3948",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4544126",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5049592",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "112241",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "31800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin James Javers, PT
• JBC Services PLLC
• Khalid Jedal
• Robert J Jeddeloh, M.D.
• Jeff Shively, MSW, Licsw
• Anastasia Jellison
• Dorothy Lee Jenicke, STUDENT
• Jacob Ray Jenness, OD
• Amy Jo Jensen, OTR
• Christina Jean Jensen, OT

• Specialist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.