Carl Standley

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN0000028461 Issued in TN

Practice address

391 Wallace Rd
Nashville, TN 37211-4851

Phone

(844) 673-6968

NPI assigned

Nov 5, 2020

Sex

Male

Sole proprietor

No

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 TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wound Healing Care Specialists TN PC

  • Surgery Physician
  • Memphis, TN
  • NPI 1043013972
  Medicare reassignment NPD
• Southeast Eight Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1972172716
  NPD (past)

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1174124242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 AMBROSE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372074709",
            "telephone_number": "844-673-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 WALLACE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114851",
            "telephone_number": "844-673-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDLEY",
        "first_name": "CARL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000028461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric James Stanberry Jr., MA
• Candy Stancil, FNP
• Bradley Blaine Stancombe, MD
• Stand by Me
• Scott C Standard, M.D.
• Matthew Hunter Stanfield, LMFT
• Michelle Bruning Stanfill, LMSW
• Alyssa Stanford, PT, DPT
• Anita Stanford
• Brooke Alivia Stanicki, MD

• Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.