Active NPI
Judy Sasser Stanfield, NP
- Gerontology Nurse Practitioner
- Fayetteville, NC
National Provider Identifier
1013992056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 600110
- Practice address
- 4600 Cumberland Rd
Fayetteville, NC 28306-2412 - Phone
- (910) 429-1690
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 600110 | NC | Primary |
Addresses
Primary practice location
4600 Cumberland Rd
Fayetteville, NC 28306-2412
Mailing address
3803 N Elm St
Greensboro, NC 27455-2593
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000914 | Medicaid | NC | |
| 500024589 | Other | RR MEDICARE | |
| B3900 | Other | MEDCOST | |
| 7370730 | Other | AETNA |
Other names 1
- Judy Ellen Sasser
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1013992056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 N ELM ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 CUMBERLAND RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283062412",
"telephone_number": "910-429-1690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANFIELD",
"first_name": "JUDY",
"middle_name": "SASSER",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "600110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000914",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "500024589",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "B3900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7370730",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDY",
"last_name": "SASSER",
"middle_name": "ELLEN",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.