Stacy Sanders, CAP STUDENT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1633 W. Main St
Lebanon, TN 37087

Phone

(850) 331-8681

NPI assigned

Nov 23, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Austin Lee Williams Medical Billing

  • Health Maintenance Organization
  • Pace, FL
  • NPI 1720675937
  NPD

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1154925808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 BELL RIDGE LANE APRTMENT 104",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "32571",
            "telephone_number": "850-713-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 W. MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "37087",
            "telephone_number": "850-331-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "STACY",
        "credential": "CAP STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Salsbury, RBT
• Eric Brooks Salser, CRNA
• Sam'S East, Inc.
• Sam'S East, Inc.
• Betty A. Sanders, RN
• Vanessa Trapani Santana, CNP
• Thomas Keith Sartain, D.C.
• Rosemary Grace Sarver, LPC/MHSP
• Sate'S Home Care
• Janice Kay Saucerman, PHYSICAL THERAPIST

• Addiction (Substance Use Disorder) Counselor in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.