Lydia Ann Glisan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

549768 Issued in TX

Practice address

601 University Dr
Texas State Student Health Center
San Marcos, TX 78666-4685

Phone

(512) 245-2161

Fax

(512) 245-9288

NPI assigned

Oct 13, 2008

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

State licenses

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1750533543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY DR",
            "address_2": "TEXAS STATE STUDENT HEALTH CENTER",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786664685",
            "telephone_number": "512-245-2161",
            "fax_number": "512-245-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY DR",
            "address_2": "TEXAS STATE STUDENT HEALTH CENTER",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786664685",
            "telephone_number": "512-245-2161",
            "fax_number": "512-245-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLISAN",
        "first_name": "LYDIA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "549768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Gilbert, AU.D.
• Amy Gilbertson, LPC
• Greg Gilcrease, D.D.S.
• Richard L Gillespie, D.C.
• Joelle Giron
• Boguslaw Godlewski, MD
• Arrie Matthew Godwin, LPC
• Michael L Goebel, DC
• Janine Lee Goldstein, M.D.
• Anissa Victoria Gomez

• Family Nurse Practitioner in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.