Active NPI
Lillian Scholeno
- Durable Medical Equipment & Medical Supplies
- Centennial, CO
National Provider Identifier
1669963070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- C52996
- Practice address
- 8200 S Quebec St Ste A32167
Centennial, CO 80112-4411 - Phone
- (832) 881-8856
- NPI assigned
- May 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | C52996 | CO | Primary |
Addresses
Primary practice location
8200 S Quebec St Ste A32167
Centennial, CO 80112-4411
Mailing address
8200 S Quebec St Ste A32167
Centennial, CO 80112-4411
Phone (832) 881-8856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C52996 | Other | CO | BOC |
Other names 1
- Ammie Jaggars
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52996 | CO | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1669963070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 S QUEBEC ST STE A32167",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124411",
"telephone_number": "832-881-8856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 S QUEBEC ST STE A32167",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124411",
"telephone_number": "832-881-8856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOLENO",
"first_name": "LILLIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-21",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CO",
"license": "C52996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC",
"identifier": "C52996",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMMIE",
"last_name": "JAGGARS",
"credential": "LILLIAN SCHOLENO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.