MICHELLE TILLEY NP
NPI 1093160533
Nurse Practitioner - Family in San Diego, CA

Active since May 03, 2016
6195 LUSK BLVD STE 250, SAN DIEGO, CA 92121(858) 859-1188 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2022, May 8, 2019, Jul 9, 2018 (3 updates tracked since 2018).

About Michelle Tilley Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE TILLEY NP (NPI 1093160533) is an individual family provider in San Diego, California, licensed in California (23391) and active in the NPI registry since May 2016. She maintains a secondary practice location in Madera.

NPPES Registry Identity

NPI1093160533
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE TILLEYCredential: NP
Location Address6195 LUSK BLVD STE 250San Diego, CA 92121-3715
Mailing Address6195 Lusk Blvd Ste 250San Diego, CA 92121-3715 · (858) 859-1188
Sole ProprietorYes
Enumeration DateMay 3, 2016
Last NPPES UpdateOctober 25, 20223 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
NPI 1093160533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 23391
Also ListedRegistered NurseTaxonomy 163W00000X · License 720762 (CA)
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License 3647 (CA)
6195 LUSK BLVD STE 250, San Diego, CA 92121

Secondary Practice Location 1

Location 19300 Valley Childrens Place, NeurosurgeryMadera, CA 93636-8761 · Phone (559) 353-6277

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Physician Assistant (Medical)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Physician Assistant (Medical)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Tilley's NPI number?

The NPI number for Michelle Tilley is 1093160533. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Where is Michelle Tilley located?

Michelle Tilley practices at 6195 Lusk Blvd Ste 250, San Diego, CA 92121. The listed phone number is (858) 859-1188.

What is Michelle Tilley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Michelle Tilley was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.