Stanley R Stansell, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110001891 Issued in VA

Practice address

397 Little Neck Rd Ste 100
Virginia Beach, VA 23452-5764

Phone

(757) 470-5570

Fax

(757) 961-9359

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1093705444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525764",
            "telephone_number": "757-470-5576",
            "fax_number": "757-961-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525764",
            "telephone_number": "757-470-5570",
            "fax_number": "757-961-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSELL",
        "first_name": "STANLEY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110001891",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0101279",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00169884",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Stanko, RN
• Destini Stanley
• Makayla Stanley
• Raegan Mae Stanley, SLP
• Trenity Elise Stanley
• Laura Ann Stanzione, LCSW
• Melissa Ann Stapleford, OTR/L
• Jessica Grace Staples
• Stardust Applications, LLC
• Starfish Pharmacy LLC

• Medical Physician Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.