Paula Denise Stanley

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9343172 Issued in FL

Practice address

404 E Highway 90
Bonifay, FL 32425

Phone

(850) 547-4284

NPI assigned

Oct 30, 2017

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mohammad Yunus MD PA

  • Rural Health Clinic/Center
  • Bonifay, FL
  • NPI 1104088657
  Medicare reassignment NPD

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1669984654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E HIGHWAY 90",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324252731",
            "telephone_number": "850-547-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E HIGHWAY 90",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "32425",
            "telephone_number": "850-547-4284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4284 Kelson Ave",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324462948",
            "country_code": "US",
            "telephone_number": "850-482-2910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "PAULA",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9343172",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9343172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Morris Somerset
• South Alabama Diagnostic Imaging PC
• Sovereign Healthcare of Bonifay, LLC
• Valerie Sowell, MH 25572
• Spectrum Counseling Services, LLC
• Keith D Sutton
• Allen Gray Swift, MD
• Tahir M Yunus MD
• Hilary Taylor, DMD
• Meaghan S. Taylor, ARNP

• Family Nurse Practitioner in Bonifay, FL
• Providers in Bonifay, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.