JENNIFER NICOLE LILLY
NPI 1669080065
Student in an Organized Health Care Education/Training Program in El Cajon, CA

Active since July 21, 2020
1664 BROADWAY, EL CAJON, CA 92021(619) 579-8685 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2020, Jul 21, 2020 (2 updates tracked since 2020).

About Jennifer Nicole Lilly NPPES

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

JENNIFER NICOLE LILLY (NPI 1669080065) is an individual student in an organized health care education/training program in El Cajon, California and active in the NPI registry since July 2020. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1669080065
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER NICOLE LILLY
Location Address1664 BROADWAYEl Cajon, CA 92021-5201
Mailing Address1664 BroadwayEl Cajon, CA 92021-5201 · (619) 579-8685
Sole ProprietorNo
Enumeration DateJuly 21, 2020
Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
NPI 1669080065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1664 BROADWAY, El Cajon, CA 92021

Secondary Practice Location 1

Location 18609 Lake Murray Blvd Unit 8San Diego, CA 92119-2841 · Phone (619) 772-2294

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.

Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
Recreation Therapist
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021

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 Jennifer Lilly's NPI number?

The NPI number for Jennifer Lilly is 1669080065. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Jennifer Lilly located?

Jennifer Lilly practices at 1664 Broadway, El Cajon, CA 92021. The listed phone number is (619) 579-8685.

What is Jennifer 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 Jennifer Lilly was last updated on August 6, 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.