Individual provider Active NPI

Cristy Stumb, APRN

  • Adult Health Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1861728909
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3016443 Issued in KY
Practice address
311 W Spring St
Lebanon, TN 37087-3505
Phone
(615) 489-7256
Fax
(833) 764-5816
NPI assigned
Oct 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0003265 CO
Acute Care Nurse Practitioner 363LA2100X 11015441 FL
Adult Health Nurse Practitioner 363LA2200X 3016443 KY Primary
Acute Care Nurse Practitioner 363LA2100X 0024182563 VA
Acute Care Nurse Practitioner 363LA2100X 204968 OK
Acute Care Nurse Practitioner 363LA2100X 4704380501 MI
Acute Care Nurse Practitioner 363LA2100X 845253 NV
Acute Care Nurse Practitioner 363LA2100X 14465 TN

Addresses

Primary practice location

311 W Spring St
Lebanon, TN 37087-3505

Mailing address

515 W Spring St
Lebanon, TN 37087-3429
Phone (615) 489-7256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20101103000151 TN Practitioner - Nurse Practitioner 7113971334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 W Spring St
Lebanon, TN 37087-3505
Phone (615) 489-7256

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14465TNMDPhysical Therapist
0003265COMDNeurology Physical Therapist
11015441FLMDAcute Care Nurse Practitioner
4704380501MIMDAcute Care Nurse Practitioner
845253NVMDAcute Care Nurse Practitioner
204968OKMDAcute Care Nurse Practitioner
0024182563VAMDAcute Care Nurse Practitioner

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1256342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1861728909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W SPRING ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873429",
            "telephone_number": "615-489-7256",
            "fax_number": "833-764-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W SPRING ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873505",
            "telephone_number": "615-489-7256",
            "fax_number": "833-764-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMB",
        "first_name": "CRISTY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-24",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "0003265",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11015441",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3016443",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024182563",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "204968",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704380501",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "845253",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "14465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.