Individual provider Active NPI

Tonya Staats, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1780072553
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-111304 Issued in AL
Practice address
4715 Whitesburg Dr SE
Huntsville, AL 35802-1632
Phone
(256) 650-1242
NPI assigned
Jan 2, 2015
Last updated
Jan 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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 1-111304 AL Primary

Addresses

Primary practice location

4715 Whitesburg Dr SE
Huntsville, AL 35802-1632

Mailing address

4715 Whitesburg Dr SE
Huntsville, AL 35802-1632
Phone (256) 650-1242

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150323002522 AL Practitioner - Nurse Practitioner 0648597013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed Orthopaedic SpecialistsGroup PAC ID 7214903723, 87 clinicians

Practice addresses (Care Compare)

33 Hughes Rd
Madison, AL 35758-2238
Phone (256) 464-8200

4715 Whitesburg Dr S
Huntsville, AL 35802-1632

4715 Whitesburg Dr SE
Huntsville, AL 35802-1632

4715 Whitesburg Dr SE
Huntsville, AL 35802-1649
Phone (256) 881-5151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
90
Promoting interoperability
94
Improvement activities
40
Cost
80.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-111304ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed Orthopaedic Specialists CurrentSince Jan 5, 2015 Accepting new patients
Sportsmed Orthopaedic Specialists, PC CurrentSince Jan 5, 2015 Accepting new patients

Locations

22423 US Highway 72
Ste A
Athens, AL 35613
Phone (256) 230-9607

4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500

33 Hughes Rd
Madison, AL 35758
Phone (256) 319-9327

Organizations & group practices 2

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": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1780072553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 WHITESBURG DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021632",
            "telephone_number": "256-650-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 WHITESBURG DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021632",
            "telephone_number": "256-650-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAATS",
        "first_name": "TONYA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-111304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.