Christian Wilson Stanley, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

UP005404N Issued in PA

Practice address

Jefferson Faculty Peds and Dupont Childrens HLTH Prog
833 Chestnut Street East Suite 300
Philadelphia, PA 19107-4413

Phone

(215) 955-7800

Fax

(215) 923-9383

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1902984164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "address_2": "PROVIDER ENROLLMENT DEPT",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-6212",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JEFFERSON FACULTY PEDS AND DUPONT CHILDRENS HLTH PROG",
            "address_2": "833 CHESTNUT STREET EAST SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074413",
            "telephone_number": "215-955-7800",
            "fax_number": "215-923-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "CHRISTIAN",
        "middle_name": "WILSON",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "UP005404N",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "UP005404N",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4042875",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024449",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corrie A Stankiewicz, MD
• Emily Stankoski, MSPAS, PA-C
• Stanley Gittelman DDS Inc
• Chanessa Stanley, MS
• Charles A Stanley, M.D.
• Elinor Stanley
• Helen Marie Stanley, MD
• Jeanne L. Stanley, PH.D.
• John R Stanley, MD
• Natasha Stanley, DO

• Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.