Tricia L Stanley, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71000752 Issued in IN

Practice address

1615 US Hwy 231 S
Suite a
Crawfordsville, IN 47933-4603

Phone

(765) 323-4689

NPI assigned

Jul 11, 2006

Last updated

Sep 8, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Athens Medical Group, Inc

  • Family Medicine Physician
  • Crawfordsville, IN
  • NPI 1831205210
  NPD (past)
• Proactive Mso, LLC

  dba Proactive MD Crawfordsville Health Center

  • Primary Care Clinic/Center
  • Crawfordsville, IN
  • NPI 1649913492
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1376578435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 US HWY 231 S",
            "address_2": "SUITE A",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479334603",
            "telephone_number": "765-323-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 US HWY 231 S",
            "address_2": "SUITE A",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479334603",
            "telephone_number": "765-323-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "TRICIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Clare Medical Center (St Clare Neighborhood Clinic)
• St. Clare Medical Center
• St. Clare Medical Center (Franciscan St. Elizabeth Health-Crawfordsville)
• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• Brandon Joseph Stafford
• Statewide Transfer Ambulance and Rescue, Inc. (STAR Ambulance Service)
• Candy Steffan, RBT
• Stephen W. Rasmussen, DDS, PC
• Jamie Nicole Stephenson, LPN
• Dan L Stewart, M.D.

• Nurse Practitioner in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.