Individual provider Active NPI

Lillian Scholeno

  • Durable Medical Equipment & Medical Supplies
  • Centennial, CO
National Provider Identifier
1669963070
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
C52996 Issued in CO
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

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C52996OtherCOBOC

Other names 1

  • Ammie Jaggars Professional name

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

LicenseStateTypeSpecialty
C52996COMDDurable 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.

Verify at the official NPI Registry.