Active NPI
Jeanne Siler Lilly
- Audiologist
- Mountain Home, TN
National Provider Identifier
1861796344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0000000064
- Practice address
- 204 Dogwood Lane
Mountain Home, TN 37684-4000 - Phone
- (423) 926-1171
- NPI assigned
- Dec 27, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0000000064 | TN | Primary |
| Audiologist | 231H00000X | 6761 | NC |
Addresses
Primary practice location
204 Dogwood Lane
Mountain Home, TN 37684-4000
Mailing address
PO Box 322
Mountain Home, TN 37684-0322
Phone (423) 926-1171
Other names 1
- Mrs. Jeanne Elizabeth Lilly
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 |
|---|---|---|---|
| 0000000064 | TN | MD | Addiction (Substance Use Disorder) Counselor |
| 6761 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1861796344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 322",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376840322",
"telephone_number": "423-926-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 DOGWOOD LANE",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376844000",
"telephone_number": "423-926-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLY",
"first_name": "JEANNE",
"middle_name": "SILER",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-27",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "0000000064",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "6761",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNE",
"last_name": "LILLY",
"middle_name": "ELIZABETH",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Mountain Home, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.