Katie Melissa Stanford, MSN, PMHNP-BC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

APRN.CNP.024676 Issued in OH

Practice address

217 Columbus Rd Ste 105
Athens, OH 45701-1393

Phone

(740) 200-0562

Fax

(949) 757-6694

NPI assigned

May 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Harmony Psychiatric ServicesGroup PAC ID 3870024920, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

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.

• Harmony Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Athens, OH
  • NPI 1013753698
  Medicare reassignment Care Compare group NPD Authorized official
• Ohio Psychiatric Services LLC.

  • Physician Assistant
  • Lancaster, OH
  • NPI 1902359383
  Medicare reassignment NPD
• State of Ohio Office of Budget and Management State Accounting

  • Psychiatric Hospital
  • Cincinnati, OH
  • NPI 1023082716
  Medicare reassignment NPD
• State of Ohio Office of Budget and Management State Accounting

  • Psychiatric Hospital
  • Athens, OH
  • NPI 1063486058
  NPD
• State of Ohio Office of Budget and Management State Accounting

  • Nursing Facility/Intermediate Care Facility
  • Sandusky, OH
  • NPI 1790732576
  NPD

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1801454558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 COLUMBUS RD STE 105",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011393",
            "telephone_number": "740-200-0562",
            "fax_number": "949-757-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 COLUMBUS RD STE 105",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011393",
            "telephone_number": "740-200-0562",
            "fax_number": "949-757-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "KATIE",
        "middle_name": "MELISSA",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "APRN.CNP.024676",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "2018090842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO NURSING LICENSE #",
            "identifier": "2018090842",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Axel J Stafford
• Tammy M Stage, LPCC-SUPERVISION
• William J Stalder
• Ashley Brooke Standall
• Charis Stanek
• Davion Stapleton
• McKenzie Stapleton, QMHS
• Charles Anthony Starkey, ATC, LAT
• Angie Evans Starline
• Jennifer Starnes, QMHS3

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Athens, OH
• Providers in Athens, OH by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.