Suzette Carroll Stanley, RN APN FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000013889 Issued in TN

Practice address

202 Tucker Ave
Ripley, TN 38063-1631

Phone

(731) 635-4741

NPI assigned

Apr 26, 2009

Last updated

Aug 15, 2024By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17303/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/CIAIDD
• Direct secure messaging: suzette.stanley.1@17303.direct.athenahealth.com

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.

• Allcare Medical PLLC

  • Rural Health Clinic/Center
  • Ripley, TN
  • NPI 1881909877
  Medicare reassignment NPD
• Bemis Medical Clinic, Inc.

  dba Bemis Medical Clinic,inc II

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1437297744
  Medicare reassignment NPD
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1366644361
  Medicare reassignment NPD
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Rural Health Clinic/Center
  • South Pittsburg, TN
  • NPI 1427781129

  Family

  NPD
• Ripley Medical Clinic Inc

  • Family Medicine Physician
  • Ripley, TN
  • NPI 1013012764
  NPD
• Thrive Family Healthcare, PLLC

  dba Thrive Family Healthcare

  • Family Medicine Physician
  • Ripley, TN
  • NPI 1336938059
  NPD
• Rural Health Clinics of West TN PLLC

  • Legal Medicine
  • Ripley, TN
  • NPI 1104864370
  NPD (past)
• West TN Neurology Clinic PLLC

  • Neurology Physician
  • Bartlett, TN
  • NPI 1306304530
  NPD (past)

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

{
    "created_epoch": "1240704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1497999155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 TUCKER AVE",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380631631",
            "telephone_number": "731-635-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 TUCKER AVE",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380631631",
            "telephone_number": "731-635-4741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "TN",
            "postal_code": "380631205",
            "country_code": "US",
            "telephone_number": "731-221-1804",
            "fax_number": "731-221-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "SUZETTE",
        "middle_name": "CARROLL",
        "name_prefix": "Mrs.",
        "credential": "RN APN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000013889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4319063",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103I501930",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526784",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Second Step Inc.
• Sheena Marie Simmons, LADAC
• Virginia C Smith, FNP
• Southern Family Practice Inc
• Percy Joe Stanfield, D.C.
• State of Tennessee
• Austin Swain, O.D.
• Syed a a Zaidi, MD, PLLC
• Sympatico Health Alliance
• Tennessee Foot Care Center LLC

• Family Nurse Practitioner in Ripley, TN
• Providers in Ripley, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.