Elive M Stanly

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CN221201831 Issued in DC

Practice address

2703 Fort Baker Dr SE Apt 1
Washington, DC 20020-7274

Phone

(240) 244-4863

Fax

(443) 513-2664

NPI assigned

Jan 4, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in DC, MA, AZ3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Unified Healthcare Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
  • NPI 1609677327

  MA, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1730998782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WARFIELD DR APT 1109",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854731",
            "telephone_number": "240-244-4863",
            "fax_number": "443-513-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 FORT BAKER DR SE APT 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207274",
            "telephone_number": "240-244-4863",
            "fax_number": "443-513-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3945 Lancaster Ln N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554411736",
            "country_code": "US",
            "telephone_number": "240-244-4863",
            "fax_number": "443-513-2664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9950 W Indian School Rd Unit 8",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850375912",
            "country_code": "US",
            "telephone_number": "240-244-4863",
            "fax_number": "443-513-2664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Arboretum Way",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018033827",
            "country_code": "US",
            "telephone_number": "240-244-4863",
            "fax_number": "443-513-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLY",
        "first_name": "ELIVE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-04",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "CN221201831",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "328612",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2391911",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110225709A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227576",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010192714",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Tighe Stanley, M.D.
• Keiyauna J Stanley
• Krystal Stanley, PH.D.
• Michell Kothari Stanley, LICSW
• Rene Dominique Salaman Stanley
• Maja Stanojevic, MD
• Tara Catherine Stansbury, MD
• Stanton Park Dental PLLC
• Dionna Stanton, LCSW, LICSW, PMH-C
• Tykeira Shontae Stanton

• Psychiatric/Mental Health Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.

Verify at the official NPI Registry.