Individual provider Active NPI

Emilie Stauffer, CPNP-PC

  • Pediatric Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1205208329
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN0000020589 Issued in TN
Practice address
5505 Edmondson Pike Ste 104
Nashville, TN 37211-5869
Phone
(615) 331-5898
Fax
(615) 331-5705
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APN0000020589 TN Primary

Addresses

Primary practice location

5505 Edmondson Pike Ste 104
Nashville, TN 37211-5869

Mailing address

6640 Carothers Pkwy Ste 230
Franklin, TN 37067-6576
Phone (615) 550-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APN0000020589TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Pediatrics PLLC Pediatrics PastSince Jul 25, 2019 Accepting new patients
Tennessee Pediatrics P.C. PastSince Jul 25, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12020/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1205208329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 CAROTHERS PKWY STE 230",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676576",
            "telephone_number": "615-550-4030",
            "fax_number": "615-550-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 EDMONDSON PIKE STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115869",
            "telephone_number": "615-331-5898",
            "fax_number": "615-331-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "EMILIE",
        "name_prefix": "Ms.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN0000020589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.