Lillian June Stanley, MSN FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP6713 Issued in CA

Practice address

1 Grand Ave
California Polytechnic State University Health Center
San Luis Obispo, CA 93410-9001

Phone

(805) 756-1211

Fax

(805) 756-5298

NPI assigned

Oct 27, 2006

Last updated

Aug 18, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1689750085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GRAND AVE",
            "address_2": "CALIFORNIA POLYTECHNIC STATE UNIVERSITY HEALTH CENTER",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934109001",
            "telephone_number": "805-756-1211",
            "fax_number": "805-756-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GRAND AVE",
            "address_2": "CALIFORNIA POLYTECHNIC STATE UNIVERSITY HEALTH CENTER",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934109001",
            "telephone_number": "805-756-1211",
            "fax_number": "805-756-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "LILLIAN",
        "middle_name": "JUNE",
        "credential": "MSN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP6713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Michael Nephrology, PC
• Charles E St. Vincent, P.T.
• Monica Stagg, R.N.
• Shelly Rose Vonk Staley, LMFT 114352
• Elina Marie Stanford
• Gary D. Stanwyck, M.D.
• Emmalani Bartholomew Stapp
• Melissa Statton, NP-C, MSN, RN
• Sarah Stauble, B.S.
• Cheryl Wilson Steed, PSY.D.

• Nurse Practitioner in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.