Stacy Anderson
Individual provider Active NPI Attendant Care Provider · Lynnville, TN
NPI 1063199768 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1063199768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 244 Church St
Lynnville, TN 38472-3115 - Phone
- (919) 649-2695
- NPI assigned
- Jul 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
244 Church St
Lynnville, TN 38472-3115
Mailing address
139 Pierce Rd
Pulaski, TN 38478-8229
Other providers in Lynnville, TN
- Amg-Hillside LLC
- Nicole Verlie Barrie
- Kendra Briggs
- Whitney Shaney Howard
- Kimberly Hull
- Nathan Paul Kersey
All providers in Lynnville, TN · Attendant Care Provider in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.