Individual provider Active NPI

Sara Lane Stanly, FNP

  • Family Nurse Practitioner
  • Fayetteville, TN
National Provider Identifier
1659027142
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31259 Issued in TN
Practice address
207 Elk Ave S
Fayetteville, TN 37334-3051
Phone
(931) 433-2551
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31259 TN Primary

Addresses

Primary practice location

207 Elk Ave S
Fayetteville, TN 37334-3051

Mailing address

34 N George Rd
Flintville, TN 37335-5404
Phone (931) 993-4247

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220303000897 TN Practitioner - Nurse Practitioner 6406240621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

207 Elk Ave S
Fayetteville, TN 37334-3051

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
31259TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HH Health System - Lincoln Inc CurrentSince Dec 1, 2024 Accepting new patients
HH Physician Care-Fayetteville Medical Associates CurrentSince Feb 1, 2022 Accepting new patients
HH Health System - Lincoln Inc CurrentSince Dec 1, 2024 Accepting new patients

Locations

108 Medical Center Blvd
Ste 150
Fayetteville, TN 37334
Phone (931) 433-1105

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

207 Elk Ave S
Fayetteville, TN 37334
Phone (931) 433-2551

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1659027142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N GEORGE RD",
            "city": "FLINTVILLE",
            "state": "TN",
            "postal_code": "373355404",
            "telephone_number": "931-993-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ELK AVE S",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343051",
            "telephone_number": "931-433-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLY",
        "first_name": "SARA",
        "middle_name": "LANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

Verify at the official NPI Registry.