STG International

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

15849 Issued in CA

Legal business name

STG INTERNATIONAL

Practice address

340 E Avenue I
Lancaster, CA 93535-1900

Phone

(661) 729-8655

Fax

(661) 729-8656

NPI assigned

Aug 11, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deanna Lynn Kudulis, NP

Title

Nurse Practioner

Phone

(661) 729-8655

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexis Balina, RD

  • Registered Dietitian
  • Lancaster, CA
  • NPI 1124651955
  NPD (past)
• Christopher David Schadt, PSYD

  • Clinical Psychologist
  • Lancaster, CA
  • NPI 1952933517
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1073989208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E AVENUE I",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351900",
            "telephone_number": "661-729-8655",
            "fax_number": "661-729-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E AVENUE I",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351900",
            "telephone_number": "661-729-8655",
            "fax_number": "661-729-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STG INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "KUDULIS",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "661-729-8655",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "15849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cimone Stevenson
• Stevie Smith, Dental Hygienist, a.P.C., Inc.
• Alexis Stewart
• Monica P Stewart, AMFT
• Trisha Lynn Stewart, MA LMFT
• Jessica Tina Marie Stiles
• Shirley Stillwell Mack, LVN
• Lawrence Stock, MD
• Tanya Lyn Yacynych Stock, PH.D.
• Corinne Stockman, CMT

• Family Nurse Practitioner in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.