Active NPI
Janet Florence Stastny, DO
- Cytopathology Physician
- Johnson City, TN
National Provider Identifier
1649254574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- D00000001291
- Practice address
- 2400 Susannah St Ste a
Johnson City, TN 37601-1730 - Phone
- (423) 283-4734
- Fax
- (423) 283-4736
- NPI assigned
- Dec 5, 2005
- Last updated
- Mar 14, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | D00000001291 | TN | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | D00000001291 | TN |
Addresses
Primary practice location
2400 Susannah St Ste a
Johnson City, TN 37601-1730
Mailing address
2400 Susannah St Ste a
Johnson City, TN 37601-1730
Phone (423) 283-4734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3305840 | Medicaid | TN |
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D00000001291 | TN | MD | Cytopathology Physician |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1649254574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 SUSANNAH ST STE A",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011730",
"telephone_number": "423-283-4734",
"fax_number": "423-283-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 SUSANNAH ST STE A",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011730",
"telephone_number": "423-283-4734",
"fax_number": "423-283-4736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASTNY",
"first_name": "JANET",
"middle_name": "FLORENCE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "TN",
"license": "D00000001291",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "D00000001291",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3305840",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
- Hayden Tyler Stanton
- Priscilla Jean Stapleton, REGISTERED NURSE
- Samuel Stark, DO
- Joshua Lawrence Starkey, MD
- Kathryn Lynne Starr, DNP, APRN
- State of Franklin Healthcare Associates PLLC
- State of Franklin Healthcare Associates PLLC
- State of Tennessee (NE Tennessee Mobil Dental Unit)
- State of Tennessee (Northeast Tennessee Regional Health Office)
- State of Tennessee (Washington County Health Department)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.