Harold Ryan Lilly, LAC, EAMP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60392092 Issued in WA

Practice address

10127 Main PL
Suite B
Bothell, WA 98011-3402

Phone

(425) 780-6020

NPI assigned

Jan 7, 2014

Last updated

Jan 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harold Ryan Lilly PLLC

  dba Experience Qi Project

  • Acupuncturist
  • Bellevue, WA
  • NPI 1487451761
  NPD Authorized official
• Little Si Acupuncture & East Asian Medicine Clinic, LLC

  dba Little Si Acupuncture, LLC

  • Acupuncturist
  • North Bend, WA
  • NPI 1407515075
  NPD (past)

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1740602929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 JUANITA DR NE",
            "address_2": "G HALL 301",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284966",
            "telephone_number": "425-780-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10127 MAIN PL",
            "address_2": "SUITE B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113402",
            "telephone_number": "425-780-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "HAROLD",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LAC, EAMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60392092",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000165",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MT",
            "license": "MED-ACU-LIC-26569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liang Liao, PH.D., MBA, M.S.
• Peixi Liao
• Peter Liao, MD
• Shu-Sheng Liao, SLP
• Life Care Centers of America, Inc. (Life Care Center of Bothell)
• Gary I Limarzi, M.D.
• Emily Lin, D.D.S.
• Minchang Lin, PHARMACIST
• Mary Linclau
• Madison Lindahl, RN

• Acupuncturist in Bothell, WA
• Providers in Bothell, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.