Heather Lynn Stumbo

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

145162 Issued in TN

Practice address

1596 Highway 33 S
New Tazewell, TN 37825-7104

Phone

(423) 626-8271

Fax

(423) 342-0106

NPI assigned

Nov 28, 2017

Last updated

Nov 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Lynn Seal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1164936241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W ANDREW JOHNSON HWY DEPT 100",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1596 HIGHWAY 33 S",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378257104",
            "telephone_number": "423-626-8271",
            "fax_number": "423-342-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMBO",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TN",
            "license": "145162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "SEAL",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stanifer Pharmacy LLC (Stanifer Drugs, LLC)
• Stanifer Pharmacy LLC (Stanifer Drugs)
• William R Stanifer Jr., DPH
• State of Tennessee (Claiborne County Health Department)
• Michael Allen Stephens, PA
• Dustin Scott Taylor, PHARMD
• Tennessee Nursing Services of Morristown, Inc. (Beacon Hospice)
• Angela Dawn Thornsbury, APRN, FNP-C
• Total Renal Care Inc (Appalachian Dialysis)
• Emilia Tumminello, PA-C

• Nurse's Aide in New Tazewell, TN
• Providers in New Tazewell, TN by specialty
• Nurse's Aide in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.