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JESSE LILLY
NPI 1417588773
Student in an Organized Health Care Education/Training Program in Athens, WV

Active since January 27, 2020
1000 VERMILLION ST, ATHENS, WV 24712(304) 322-6264 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse Lilly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE LILLY (NPI 1417588773) is an individual student in an organized health care education/training program in Athens, West Virginia and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1417588773
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSE LILLY
Location Address1000 VERMILLION STAthens, WV 24712-9027
Mailing Address251 Samaritan DrShady Spring, WV 25918-8231
Phone(304) 322-6264
Sole ProprietorYes
Enumeration DateJanuary 27, 2020
✔ NPI 1417588773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1000 VERMILLION ST, Athens, WV 24712
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDDIE JAMES BLAKE GRADUATE
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (800) 344-6679
BRENT ALEXANDER ROARK ATC
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 384-6320
STATE OF WEST VIRGINIA CONCORD UNIVERSITY
Clinic/Center (Student Health)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 384-7325
KATELYN GOLINSKY
Student in an Organized Health Care Education/Training Program
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 322-6264
HUNTER ALEXANDRIA BAILEY
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 710-9849
JENNIFER LAUREN SICINSKI
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 384-6239
IMANI T RODGERS
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (757) 232-7232
BRITTANY NICOLE DOMINGO MA, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST, BOX C688
ATHENS, WV 24712
Mercer County (681) 422-9113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Lilly's NPI number?

The NPI number for Jesse Lilly is 1417588773. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Jesse Lilly located?

Jesse Lilly practices at 1000 Vermillion St, Athens, WV 24712. The listed phone number is (304) 322-6264.

What is Jesse Lilly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jesse Lilly was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.