Active NPI
Lillyanne Nedal Qamhiyeh
- Student in an Organized Health Care Education/Training Program
- Lafayette, LA
National Provider Identifier
1801504428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 200 Dunvegan CT
Lafayette, LA 70503-6070 - Phone
- (337) 280-1348
- NPI assigned
- Nov 11, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | LA | Primary |
Addresses
Primary practice location
200 Dunvegan CT
Lafayette, LA 70503-6070
Mailing address
200 Dunvegan CT
Lafayette, LA 70503-6070
Phone (337) 280-1348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5926344227240 | Medicaid | LA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1801504428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 DUNVEGAN CT",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705036070",
"telephone_number": "337-280-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 DUNVEGAN CT",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705036070",
"telephone_number": "337-280-1348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QAMHIYEH",
"first_name": "LILLYANNE",
"middle_name": "NEDAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-11",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5926344227240",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.