Bianca M Stallings, REGISTERED NURSE

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.026527 Issued in OH

Practice address

5955 Ridge Rd
Parma, OH 44129-3936

Phone

(216) 325-9355

NPI assigned

Sep 16, 2019

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Village of HealingGroup PAC ID 6901290212, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bianca.stallings.1@22514.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22514/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Village of Healing

  dba The Village of Healing Center

  • Clinic/Center
  • Euclid, OH
  • NPI 1154991099
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1093365777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22344 LAKE SHORE BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441231717",
            "telephone_number": "216-512-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441293936",
            "telephone_number": "216-325-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38375 Tamarac Blvd Apt 108",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440948186",
            "country_code": "US",
            "telephone_number": "216-355-4714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22344 Lake Shore Blvd",
            "address_purpose": "LOCATION",
            "city": "Euclid",
            "state": "OH",
            "postal_code": "44123",
            "country_code": "US",
            "telephone_number": "216-512-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "BIANCA",
        "middle_name": "M",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.026527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Augustine Manor (Holy Family Home Health Care)
• Shawn Even Cutlip Stacey
• Motria Maria Stachur, OTR/L
• Stafford Services, Inc.
• Kelly Joy Stake, MSN, APRN
• Katelyn Stanton McClure, LSW
• Cassandra N Stargen, LMT
• Starlight Counseling LLC
• Tracy L Starr
• Athena Stavrou

• Psychiatric/Mental Health Nurse Practitioner in Parma, OH
• Providers in Parma, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.