OrganizationActive
Lillywyte LLC
NPI 1013194380 · Surgical Physician Assistant · Lone Tree, CO
Provider details
- NPI number
- 1013194380
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shelly Jatana, Representative(303) 944-4085
- License
- 2612 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8418 Colonial Dr
Lone Tree, CO 80124-9738
Phone: (281) 462-1285
Fax: (281) 462-1554
Street-level locationGet directions
Mailing address
Po Box 1288
Crosby, TX 77532-1288
Registry dates
- Enumerated
- 2008-01-29
- Last updated
- 2010-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.