Mercedes Laurel Stanley, DNP, CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

246473 Issued in NC

Practice address

2400 South Blvd Ste 103
Charlotte, NC 28203-5773

Phone

(704) 774-3024

Fax

(704) 774-3025

NPI assigned

Aug 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1194240143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "844-266-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SOUTH BLVD STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035773",
            "telephone_number": "704-774-3024",
            "fax_number": "704-774-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1918 Randolph Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071167",
            "country_code": "US",
            "telephone_number": "704-384-1056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8820 Rachel Freeman Way",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28278",
            "country_code": "US",
            "telephone_number": "704-316-7227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8820 Rachel Freeman Way",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28278",
            "country_code": "US",
            "telephone_number": "704-316-7227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Medical Plaza Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282628700",
            "country_code": "US",
            "telephone_number": "704-384-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "MERCEDES",
        "middle_name": "LAUREL",
        "credential": "DNP, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "246473",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "246473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstanley46556@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1918 Randolph Rd Ste 700",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282071167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda A Stanley
• Courtney M Stanley, M.S. OTR/L
• Gregory Alan Stanley, MD
• Katlyn Marie Stanley, FNP
• Marselene Stanley, LCSW
• Robert Wayne Stanley, PHARM D
• William D Stanley III, RPH
• William Henry Stanley Jr., RN
• Brittany Stanton, OTR
• David Ford Stanton, RPH

• Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.