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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN S LILLY RN
NPI 1447076005
Nurse Practitioner - Psychiatric/Mental Health in Anchorage, AK

Active since November 28, 2024
1840 BRAGAW ST STE 110, ANCHORAGE, AK 99508(907) 562-4155(907) 222-1745 Get Directions Write a Review

NPPES record last updated: November 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John S Lilly Rn NPPES

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

JOHN S LILLY RN (NPI 1447076005) is an individual psychiatric/mental health provider in Anchorage, Alaska, licensed in Alaska (26228) and active in the NPI registry since November 2024. He maintains a secondary practice location in Pensacola.

NPPES Registry Identity

NPI1447076005
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOHN S LILLYCredential: RN
Location Address1840 BRAGAW ST STE 110Anchorage, AK 99508-3463
Mailing Address700 N M StPensacola, FL 32501-2735 · (850) 375-1383
Phone(907) 562-4155
Fax(907) 222-1745
Sole ProprietorYes
Enumeration DateNovember 28, 2024
Last NPPES UpdateNovember 1, 2026
NPPES CertifiedNovember 1, 2026
✔ NPI 1447076005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AK · 26228
Also ListedRegistered NurseTaxonomy 163W00000X · License 9550516 (FL)
1840 BRAGAW ST STE 110, Anchorage, AK 99508
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Secondary Practice Location 1

Location 1123 Baptist WayPensacola, FL 32503-2254 · Phone (448) 227-3351

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

DANIELLE LEA LARSGAARD CDC 1, BHA 2
Counselor
1840 BRAGAW ST STE 110
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-4155
DARLENE HECKLER
Social Worker (Clinical)
1840 BRAGAW ST STE 110
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-1455
GABRIEL NTIMEH ACHAKENG
Counselor (Addiction (Substance Use Disorder))
1840 BRAGAW ST STE 110
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-4155
TOSHA SAINCOME B.S., C.T.
Counselor (Addiction (Substance Use Disorder))
1840 BRAGAW ST STE 110
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-4155
MICHAEL JAY HORTON LPC
Counselor (Professional)
1840 BRAGAW ST STE 110
ANCHORAGE, AK 99508
Anchorage Municipality (907) 334-0143
PHOEBE PROUDFOOT
Counselor (Mental Health)
1840 BRAGAW ST STE 110
ANCHORAGE, AK 99508
Anchorage Municipality (907) 334-0135
MR. JOSEPH NYHOLM RD
Dietitian, Registered
1840 BRAGAW ST STE 110
ANCHORAGE, AK 99508
Anchorage Municipality (907) 224-3076
MS. ERICA LASHA WOODS
Social Worker
1840 BRAGAW ST STE 110
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-4155

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 John Lilly's NPI number?

The NPI number for John Lilly is 1447076005. It was assigned to this individual provider in the NPPES registry on November 28, 2024.

Where is John Lilly located?

John Lilly practices at 1840 Bragaw St Ste 110, Anchorage, AK 99508. The listed phone number is (907) 562-4155.

What is John Lilly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for John Lilly was last updated on November 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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.