Tamara Sue Stanic, RN, CDCES

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

377376 Issued in CA

Practice address

215 N. Fresno Street, Suite 370
Fresno, CA 93701

Phone

(559) 459-4543

Fax

(559) 459-1524

NPI assigned

Apr 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1134740244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 SAN JOSE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116972",
            "telephone_number": "559-977-6899",
            "fax_number": "559-459-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N. FRESNO STREET, SUITE 370",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93701",
            "telephone_number": "559-459-4543",
            "fax_number": "559-459-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANIC",
        "first_name": "TAMARA",
        "middle_name": "SUE",
        "credential": "RN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "377376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING",
            "identifier": "377376",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tstanic@communitymedical.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "215 N. Fresno Street, Suite 370",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "93701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberlie Sue Stalcup
• Staltaro Psychological Services
• Paulette Standifer
• Brittany Nicole Standridge, RDA
• Gabriela Nicole Stanford
• Matthew Alan Stanich, MD
• Samantha Victoria Stanich, LPC, C-SOT, LPCC
• Brittney Michele Stanley, FNP-C, RN
• Carla Tueria Stanley
• Douglas S Stanley, MD

• Diabetes Educator Registered Nurse in Fresno, CA
• Providers in Fresno, CA by specialty
• Diabetes Educator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.