Individual provider Active NPI

Lily Stolberg, NP-C

  • Family Nurse Practitioner
  • Williston, VT
National Provider Identifier
1831606326
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0134121 Issued in VT
Practice address
586 Oak Hill Rd
Williston, VT 05495-7103
Phone
(802) 878-8131
NPI assigned
Jan 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0134121 VT Primary

Addresses

Primary practice location

586 Oak Hill Rd
Williston, VT 05495-7103

Mailing address

586 Oak Hill Rd
Williston, VT 05495-7103
Phone (802) 878-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180418001379 VT Practitioner - Nurse Practitioner 0648533067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Chittenden Health Center, PLCGroup PAC ID 7012813322, 15 clinicians

Practice addresses (Care Compare)

586 Oak Hill Rd
Williston, VT 05495-7103
Phone (802) 878-8131

Hospital & facility affiliations

  • Uvmhn Home Health and Hospice Home health agency, Colchester, VT, CCN 477000
  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101.0134121VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Chittenden Health Center, PLC CurrentSince Mar 1, 2018 Accepting new patients

Locations

586 Oak Hill Rd
Williston, VT 05495
Phone (802) 878-8131

Interoperability endpoints

  • Direct secure messaging: lilystolberg@tchc.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1831606326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 OAK HILL RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957103",
            "telephone_number": "802-878-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 OAK HILL RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957103",
            "telephone_number": "802-878-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLBERG",
        "first_name": "LILY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.