Active NPI
Jean F Stanko, CRNP
- Nurse Practitioner
- Anniston, AL
National Provider Identifier
1467437418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1053066
- Practice address
- 400 E 8TH St
Anniston, AL 36207-5754 - Phone
- (256) 237-8527
- Fax
- (256) 237-0208
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1053066 | AL | Primary |
Addresses
Primary practice location
400 E 8TH St
Anniston, AL 36207-5754
Mailing address
PO Box 700
Anniston, AL 36202-0700
Phone (256) 237-8527
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000029315 | Medicaid | AL | |
| 051029315 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23886 | SC | MD | Emergency Medicine Physician |
| 1053066 | AL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1467437418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362020700",
"telephone_number": "256-237-8527",
"fax_number": "256-237-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 8TH ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362075754",
"telephone_number": "256-237-8527",
"fax_number": "256-237-0208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANKO",
"first_name": "JEAN",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1053066",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000029315",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051029315",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anniston, AL
- SSG Chiropractic, Inc (Steven S. Greene, D.C.)
- Sara Kaylee St.John-Bean, PHARMD.
- Staff Medical Service Home Health, Inc
- Staff Medical Service Home Health,Inc
- Staff of Life Med Corp PC (Mohammad F Ismail md)
- Cordelia Stanley, ALC
- Kayley Stanley, MS, ALC
- Ty K Stansell, MD
- Chanae Staples
- Kirby Mikelle Starks
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.