Stacy Lynn Tomberlin, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP130049 Issued in TX

Practice address

12606 Greenville Ave Ste 200
Dallas, TX 75243-1923

Phone

(469) 780-4590

Fax

(833) 450-0375

NPI assigned

Nov 20, 2006

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

Other identifiers 1

Other names 1

• Stacy Lynn Katterhenry Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FADFAD
• FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
• Direct secure messaging: stacy.tomberlin.1@27034.direct.athenahealth.com

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.

• Jewish Family Service of Dallas, Inc

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1982611000
  Medicare reassignment NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Kaufman, TX
  • NPI 1992151740
  NPD
• Allergy Clinic of Tulsa, Inc.

  • Allergy Physician
  • Tulsa, OK
  • NPI 1538270954
  NPD
• Ahs Oklahoma Physician Group LLC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1235182775

  Nurse Practitioner

  NPD (past)
• Neurological Associates of Tulsa Inc

  • Neurology Physician
  • Tulsa, OK
  • NPI 1831270339
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1275607293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431923",
            "telephone_number": "469-780-4590",
            "fax_number": "833-450-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431923",
            "telephone_number": "469-780-4590",
            "fax_number": "833-450-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBERLIN",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0075357",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200102380A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "KATTERHENRY",
            "middle_name": "LYNN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Ann Tomaselli, P.T
• Lina Tomassian
• Devon Lisa-Ann Tomasson, OTR
• Abel Tomatis, PH.D.
• Stephanie Tomba, LCSW
• Zehra Tombul
• Ian Michael Tomczak, DPT
• Toula P Tomescu, LCSW
• Zorica Tomic, FNP
• Abby J Tomlin, M.S., LPC, NCC

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.