Leeann Boyles Stanford, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

111226 Issued in OK

Practice address

156 Titan Dr
Florence, AL 35630-1197

Phone

(256) 740-0690

Fax

(256) 740-0694

NPI assigned

Nov 4, 2013

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1710316476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 NEWBURG RD",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651743",
            "telephone_number": "205-494-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 TITAN DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301197",
            "telephone_number": "256-740-0690",
            "fax_number": "256-740-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "LEEANN",
        "middle_name": "BOYLES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "111226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.fulllifemd.com",
            "affiliation": "N",
            "address_1": "156 Titan Dr",
            "city": "Florence",
            "state": "AL",
            "country_code": "US",
            "postal_code": "356301197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gwen Virginia Stackhouse, CRNA
• William Ralph Stackhouse, CRNA
• Ashley Staggs
• Stevie Noel Staggs, RN
• Georgie Stanford, M.D.
• Wayne G Stanley, MD
• Loresa Stansell, MA
• Abbey Taylor Staples, BCBA, LBA
• State of Alabama
• State of Alabama Department of Public Health (Lauderdale County Health Dept Flu-Pneu)

• Family Nurse Practitioner in Florence, AL
• Providers in Florence, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.