Individual provider Active NPI

Stephen Allen Stansbury, FNP

  • Family Nurse Practitioner
  • Winnsboro, LA
National Provider Identifier
1376891739
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6882 Issued in LA
Practice address
5745 Hwy 17
Winnsboro, LA 71295
Phone
(318) 722-3333
NPI assigned
Aug 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 96401 LA
Family Nurse Practitioner 363LF0000X 6882 LA Primary

Addresses

Primary practice location

5745 Hwy 17
Winnsboro, LA 71295

Mailing address

203 Chadwick Dr
West Monroe, LA 71291-9547
Phone (318) 235-0161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20121115000210 LA Practitioner - Nurse Practitioner 2961653191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Ostomy Care Clinic LLCGroup PAC ID 4385901081, 2 clinicians

Practice addresses (Care Compare)

100 Westland Place
West Monroe, LA 71291-5446
Phone (318) 314-2308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6882LAMDGeneral Practice Dentistry
96401LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Ostomy Care Clinic LLC Family CurrentSince Apr 30, 2022 Accepting new patients
Brian Moore Family Nurse Practitioner, LLC Family PastSince Apr 19, 2020 Accepting new patients

Locations

100 Westland Pl
Ste A
West Monroe, LA 71291
Phone (318) 314-2308

100 Westland Pl
West Monroe, LA 71291
Phone (318) 314-2308

Interoperability endpoints

  • Direct secure messaging: stephen.stansburyfnpc.p2@direct.lapaincare.nextgenshare.com

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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1376891739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CHADWICK DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712919547",
            "telephone_number": "318-235-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 HWY 17",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "71295",
            "telephone_number": "318-722-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSBURY",
        "first_name": "STEPHEN",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "96401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "6882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, LA

Sources for this page

Verify at the official NPI Registry.