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LILLIE BLAIR
NPI 1790373413
Student in an Organized Health Care Education/Training Program in Olympia, WA

Active since January 07, 2021PECOS Enrolled
525 LILLY RD NE, OLYMPIA, WA 98506(360) 493-7525 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2023, Jan 7, 2021 (2 updates tracked since 2021).

About Lillie Blair NPPES

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

LILLIE BLAIR (NPI 1790373413) is an individual student in an organized health care education/training program in Olympia, Washington and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790373413
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLILLIE BLAIR
Location Address525 LILLY RD NEOlympia, WA 98506-5101
Mailing Address525 Lilly Rd NeOlympia, WA 98506-5101 · (360) 493-7525
Phone(360) 493-7525
Sole ProprietorNo
Enumeration DateJanuary 7, 2021
Last NPPES UpdateMarch 24, 20232 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
✔ NPI 1790373413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
525 LILLY RD NE, Olympia, WA 98506
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lillie Blair is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MISS SOPHIA TSIRIGOTIS M.D.
Student in an Organized Health Care Education/Training Program
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7525
DR. JULIA GRACE LEEP-LAZAR MD
Student in an Organized Health Care Education/Training Program
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
DR. KELVIE A JOHNSON M.D.
Family Medicine (Adolescent Medicine)
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
DR. LOWELL RICHARD DIGHTMAN M.D.
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
JEANNETTE DELRENE DAVIS ARNP
Nurse Practitioner
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
DR. JONATHAN KREGER DO
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7525
RUPINDER MOUNDHI MD
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
ZOFIA DICE-CHOLODZINSKI PHARMD
Pharmacist
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (808) 754-2734

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 Lillie Blair's NPI number?

The NPI number for Lillie Blair is 1790373413. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Where is Lillie Blair located?

Lillie Blair practices at 525 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 493-7525.

What is Lillie Blair's specialty?

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

Is Lillie Blair enrolled in Medicare?

Yes. Lillie Blair is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lillie Blair was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.