Lynce Stalnaker Bullard

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

33895 Issued in TN

Practice address

1574 Medical Center Pkwy Ste 104
Murfreesboro, TN 37129-3761

Phone

(615) 225-2070

Fax

(615) 962-9047

NPI assigned

Feb 1, 2024

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lynce Stalnaker Former name

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

Specialty

Nurse Practitioner

Education

University of South Florida College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gateway Healthcare, PCGroup PAC ID 7416228366, 13 clinicians

Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1366644361
  Medicare reassignment Care Compare group NPD
• Gateway Healthcare, PC

  • Urgent Care Clinic/Center
  • Murfreesboro, TN
  • NPI 1770035214
  Medicare reassignment Care Compare group NPD
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Rural Health Clinic/Center
  • South Pittsburg, TN
  • NPI 1427781129

  Family

  NPD
• Gateway Primary Care LLC

  • Primary Care Clinic/Center
  • Murfreesboro, TN
  • NPI 1912688250
  NPD (past)

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1912760042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 DIVISION ST APT 601",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372037890",
            "telephone_number": "352-231-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 MEDICAL CENTER PKWY STE 104",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293761",
            "telephone_number": "615-225-2070",
            "fax_number": "615-962-9047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5607 Franklin Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371283547",
            "country_code": "US",
            "telephone_number": "615-962-7727",
            "fax_number": "615-962-7729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3266 Memorial Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371295484",
            "country_code": "US",
            "telephone_number": "615-900-3515",
            "fax_number": "615-900-3463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1636 New Salem Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371287038",
            "country_code": "US",
            "telephone_number": "615-900-1176",
            "fax_number": "615-203-6142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 S Church St Ste B",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371277218",
            "country_code": "US",
            "telephone_number": "615-639-5515",
            "fax_number": "615-639-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "LYNCE",
        "middle_name": "STALNAKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021120",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNCE",
            "last_name": "STALNAKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimber Raikes Buehler, PHARMD
• Cassandra Lynn Buffkin
• Stacey Leigh Buford
• Donald Milton Bullard, PTA
• Linda Caroline Bullard
• Nakisha Bullock, LMSW
• Ashley Bunch
• Elizabeth Bunch
• Keith Morgan Bunch, M.ED., ATC, LAT, CES
• Brandy Grimes Bunton, LISW, AADC, MAC

• Family Nurse Practitioner in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.