Haroletta Marie Lilly, RNC WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

4704169927 Issued in MI

Practice address

G3371 Beecher Rd
Flint, MI 48532-3621

Phone

(810) 238-3631

Fax

(810) 238-3631

NPI assigned

Jan 19, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1770636946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3371 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323621",
            "telephone_number": "810-238-3631",
            "fax_number": "810-234-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3371 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323621",
            "telephone_number": "810-238-3631",
            "fax_number": "810-238-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "HAROLETTA",
        "middle_name": "MARIE",
        "credential": "RNC WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704169927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5008753530",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifetime Urgent Care PLLC
• Lifetime Urgent Care PLLC
• Amanda Lightle
• Raina Lillard
• Don Lilly
• Lily Lim, M.D.
• Yaime Lima, APRN
• Yuan-Nung Tony Lin, PHARMD
• Linda D. Norrell M.D., PLLC
• Matthew Vaughn Lindemann, DDS, MS

• Women's Health Nurse Practitioner in Flint, MI
• Providers in Flint, MI by specialty
• Women's Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.