Active NPI
Lily S Chan, CPNP
- Pediatric Nurse Practitioner
- Valhalla, NY
National Provider Identifier
1972624187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F380810
- Practice address
- 95 Bradhurst Ave
Valhalla, NY 10595-1637 - Phone
- (914) 592-7555
- Fax
- (866) 310-5326
- NPI assigned
- Apr 3, 2007
- Last updated
- Mar 4, 2016
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F380810 | NY | Primary |
Addresses
Primary practice location
95 Bradhurst Ave
Valhalla, NY 10595-1637
Mailing address
1600 Half Moon Bay Drive
Croton on Hudson, NY 10520
Phone (914) 271-5568
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
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F380810 | NY | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1972624187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HALF MOON BAY DRIVE",
"city": "CROTON ON HUDSON",
"state": "NY",
"postal_code": "10520",
"telephone_number": "914-271-5568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 BRADHURST AVE",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951637",
"telephone_number": "914-592-7555",
"fax_number": "866-310-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "LILY",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F380810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.