Individual provider Active NPI

Oshetisi Jamillah Stanney, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mashpee, MA
National Provider Identifier
1003563511
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2326428 Issued in MA
Practice address
13 Steeple St Ste 202-37
Mashpee, MA 02649-3287
Phone
(508) 375-7936
NPI assigned
Mar 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN71708 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2326428 MA Primary

Addresses

Primary practice location

13 Steeple St Ste 202-37
Mashpee, MA 02649-3287

Mailing address

13 Steeple St Ste 202-37
Mashpee, MA 02649-3287
Phone (508) 375-7936

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address towerlight@org186.direct.charmhealth.com Direct Towerlight Health and Wellness, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20221109000863 MA Practitioner - Nurse Practitioner 3779950415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13 Steeple St
Suite 202 37
Mashpee, MA 02649-3287
Phone (508) 375-7936

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN71708RIMDPsychiatric/Mental Health Registered Nurse
RN2326428MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Towerlight Health and Wellness, LLC Psychiatric/Mental Health CurrentSince Oct 1, 2022 Accepting new patients

Locations

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

13 Steeple St
Ste 20237
Mashpee, MA 02649
Phone (508) 375-7936

145 Pine Haven Shores Rd
Ste 1000A
Shelburne, VT 05482
Phone (727) 481-3581

Interoperability endpoints

  • Direct secure messaging: towerlight@org186.direct.charmhealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1003563511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 STEEPLE ST STE 202-37",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493287",
            "telephone_number": "508-375-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 STEEPLE ST STE 202-37",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493287",
            "telephone_number": "508-375-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANNEY",
        "first_name": "OSHETISI",
        "middle_name": "JAMILLAH",
        "name_prefix": "Mrs.",
        "credential": "CNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "RI",
            "license": "RN71708",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2326428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "towerlight@org186.direct.charmhealth.com",
            "affiliation": "Y",
            "endpointDescription": "Secure Direct Message",
            "affiliationName": "Towerlight Health and Wellness, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Messaging",
            "address_1": "13 Steeple St Ste 202-37",
            "city": "Mashpee",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026493287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.