Bernice Stratton

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN301512 Issued in GA

Practice address

7973 W Destiny Blvd
Fort Campbell, KY 42223-5429

Phone

(270) 798-4677

NPI assigned

Mar 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1518614924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 SUNSET PARK DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245526",
            "telephone_number": "910-494-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7973 W DESTINY BLVD",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235429",
            "telephone_number": "270-798-4677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Joel Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Campbell",
            "state": "KY",
            "postal_code": "422235318",
            "country_code": "US",
            "telephone_number": "270-798-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "BERNICE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "GA",
            "license": "RN301512",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN301512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Netta Stewart
• Sean Patrick Casey Stewart, PHARMD
• Celestine Stiles, MD
• John C Stitt, MD
• Heahter Renee Stoner, LPN
• Tandalaya Strickland
• Christopher Michael Stringer, D.O.
• Jonathan Michael Strobel, D.O.
• Paul Donavon Strohl, PA-C
• Debra Jean Stubblefield, N.P.

• Family Nurse Practitioner in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.