Individual provider Active NPI

Monica Joy Stanford, FNP-C

  • Family Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1457796922
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R877063 Issued in MS
Practice address
940 Church Rd W Ste A2
Southaven, MS 38671-9611
Phone
(662) 231-8436
Fax
(662) 536-6640
NPI assigned
May 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R877063 MS Primary

Addresses

Primary practice location

940 Church Rd W Ste A2
Southaven, MS 38671-9611

Mailing address

940 Church Rd W Ste A2
Southaven, MS 38671-9611
Phone (662) 231-8436

Other names 1

  • Monica Joy Carter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131016001746 MS Practitioner - Nurse Practitioner 5193959674 Reassigns benefits to 1 organization
I20240705001318 AZ Practitioner - Nurse Practitioner 5193959674 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R877063MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Feb 1, 2022 Accepting new patients
Rhad Health Care LLC CurrentSince May 21, 2024 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Feb 1, 2022 Accepting new patients
Tutwiler Clinic Inc PastSince May 1, 2021 Accepting new patients

Locations

10601 W Santa Fe Dr
Sun City, AZ 85351
Phone (623) 832-7000

14002 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-1141

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

Organizations & group practices 4

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": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1457796922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CHURCH RD W STE A2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719611",
            "telephone_number": "662-231-8436",
            "fax_number": "626-229-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CHURCH RD W STE A2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719611",
            "telephone_number": "662-231-8436",
            "fax_number": "662-536-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "MONICA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2023-11-02",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R877063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "CARTER",
            "middle_name": "JOY",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.