Active NPI
Juli Anna Stanford Gibson, BSN, RN; C-EFM; CBS
- Lactation Consultant (Registered Nurse)
- Maryville, TN
National Provider Identifier
1437049335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 264162
- Practice address
- 1004 E Harper Ave
Maryville, TN 37804-4025 - Phone
- (601) 620-8595
- NPI assigned
- Jul 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 264162 | TN | Primary |
Addresses
Primary practice location
1004 E Harper Ave
Maryville, TN 37804-4025
Mailing address
1004 E Harper Ave
Maryville, TN 37804-4025
Phone (601) 620-8595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264162 | TN | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1437049335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 E HARPER AVE",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378044025",
"telephone_number": "601-620-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 E HARPER AVE",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378044025",
"telephone_number": "601-620-8595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JULI ANNA",
"middle_name": "STANFORD",
"credential": "BSN, RN; C-EFM; CBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-03",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "TN",
"license": "264162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.