Sherry Lynn Stanton, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

57869 Issued in ID

Practice address

9858 W State St
Star, ID 83669-5210

Phone

(208) 286-9471

Fax

(208) 286-0565

NPI assigned

Feb 9, 2018

Last updated

Sep 9, 2020By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1578062048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 W STATE ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695210",
            "telephone_number": "208-286-9471",
            "fax_number": "208-286-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9858 W STATE ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695210",
            "telephone_number": "208-286-9471",
            "fax_number": "208-286-0565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2537 N Elk Cove Way",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836463452",
            "country_code": "US",
            "telephone_number": "208-353-4325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4038 Thomas Nelson Hwy",
            "address_purpose": "LOCATION",
            "city": "Arrington",
            "state": "VA",
            "postal_code": "229222302",
            "country_code": "US",
            "telephone_number": "434-263-4000 x43426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANTON",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175932",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "57869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Lynn Snow, PTA
• Megan Socha, RDN
• Speech Cloud
• Star Chiropractic, PLLC (Crane Chiropractic)
• Star Counseling Services LLC
• Star Medical Center PC
• Star Speech and Occupational Therapy LLC
• Star Therapeutic Massage LLC

• Family Nurse Practitioner in Star, ID
• Providers in Star, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.