Jill Standley, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

27187 Issued in TN

Practice address

1820 Haynes St
Clarksville, TN 37043-4547

Phone

(931) 245-1500

Fax

(931) 245-1544

NPI assigned

Feb 12, 2020

Last updated

Nov 19, 2020By 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

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8869/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarity Mental Health PLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clarksville, TN
  • NPI 1114536539
  Medicare reassignment NPD Authorized official
• Psychiatric Consultants of Tennessee PLLC

  • Psychiatry Physician
  • Clarksville, TN
  • NPI 1366655284
  Medicare reassignment NPD

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1235762774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 HAYNES ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434547",
            "telephone_number": "931-245-1500",
            "fax_number": "931-245-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 HAYNES ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434547",
            "telephone_number": "931-245-1500",
            "fax_number": "931-245-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDLEY",
        "first_name": "JILL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "27187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliann Stafford
• Justin Stafford
• Kimyunna Latrece Stafford
• Danielle Staley, DPT
• Kelly Anne Staley, MSOT, OTR/L
• Stanford Heights and Associates
• Kristy Jo Stanislav, DDS
• Leon E Stanislav, DDS
• Duncan Stankevich, PHARMD
• John L Stanton, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.