Audrey C Stanley, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0000001067 Issued in TN

Practice address

1050 Volunteer St
Church Hill, TN 37642-4435

Phone

(423) 357-3641

Fax

(423) 357-6694

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2016.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1609848142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PRIDEMORE ST",
            "address_2": "APT 6",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376423871",
            "telephone_number": "614-571-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 VOLUNTEER ST",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376424435",
            "telephone_number": "423-357-3641",
            "fax_number": "423-357-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "AUDREY",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "0000001067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Schofield
• Rachel Diane Seal
• Kristi M Shultz, RN
• Hannah Singleton, FNP
• Daniel Clayton Splinter, D.D.S.
• State of Tennessee
• Barbara Sword
• Mansoor Tanwir, MD
• Melissa M Taylor, LPC/MHSP
• Randolph P Thomas, D.M.D.

• All providers in Church Hill, TN
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.