Crystal Chiffon McLilley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704289381 Issued in MI

Practice address

1699 Savannah LN
Ypsilanti, MI 48198-3600

Phone

(734) 796-0847

NPI assigned

Oct 3, 2018

Last updated

Oct 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Marys Helping Hands

  • Registered Nurse
  • Ypsilanti, MI
  • NPI 1124680053
  NPD (past) Authorized official

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1942775127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 SAVANNAH LN",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983600",
            "telephone_number": "734-796-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 SAVANNAH LN",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983600",
            "telephone_number": "734-796-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLILLEY",
        "first_name": "CRYSTAL",
        "middle_name": "CHIFFON",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704289381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patty McKendrick, RNFA
• Thomas J McKeon, MD
• Lorraine Marcia McKnight, LPC
• Katherine Marie McKowell, FNP-BC
• Rachel Joanne McLaughlin, MD
• Louise McMaster, P.T
• Antonio McMillian
• Deland Maurice McMullan Jr.
• Daniel George McMurtrie, M.D.
• Patricia McNally, MD

• Registered Nurse in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.