Active NPI
Sara Lane Stanly, FNP
- Family Nurse Practitioner
- Fayetteville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 31259
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31259 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HH Health System - Lincoln Inc | Current | Accepting new patients | |
| HH Physician Care-Fayetteville Medical Associates | Current | Accepting new patients | |
| HH Health System - Lincoln Inc | Current | 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.
-
- Family Medicine Physician
- Fayetteville, TN
- NPI 1225574056
-
dba Lincoln Medical Home Health and Hospice
- Home Health Agency
- Fayetteville, TN
- NPI 1508590183
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lincoln Medical Center
- Rural Acute Care Hospital
- Fayetteville, TN
- NPI 1255066460
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
- Southern Manor Living Centers, LLC
- William K Spears, MD
- Spectrum Therapeutic Learning Center, LLC
- Morgan Honey Spray, LBA, BCBA
- Heather Kilpatrick Stafford, APRN
- Star Optometry TN, PC (InFocus Eyecare)
- State of Tennessee (Lincoln County Health Department)
- Samantha Lea Stephens, PA-C
- Zachary Stevens, BCBA, LBA
- Misty Dawn Stevenson, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.