Stacy L Hall, RN, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

13102 Issued in TN

Practice address

1 Bethel Valley Rd
Ornl, Ms 6220
Oak Ridge, TN 37830-8050

Phone

(865) 574-7431

Fax

(865) 576-5381

NPI assigned

Aug 22, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  NPD (past)

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1346433489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHEL VALLEY RD",
            "address_2": "PO BOX 2008, MS 6220",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308050",
            "telephone_number": "865-574-7431",
            "fax_number": "865-576-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHEL VALLEY RD",
            "address_2": "ORNL, MS 6220",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308050",
            "telephone_number": "865-574-7431",
            "fax_number": "865-576-5381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "549 Old Johnston Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "TN",
            "postal_code": "377635003",
            "country_code": "US",
            "telephone_number": "865-310-6424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "137912",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "13102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Rayne Hale
• Amanda Danielle Hall, RN
• Cassandra Shea Hall, AU.D.
• Pamela L Hall, PHARMD
• Richard Gene Hall, DDS
• Terry L Hallwachs, PA
• Brooke Lorraine Hamby
• Jessica Lynn Hamby, APRN, FNP-BC
• Holly Nicole Hamil, DO
• Stella Hamilton, LPC

• All providers in Oak Ridge, TN
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.