Active NPI
Sara Abigail Stancil
- Occupational Therapy Assistant
- Blountville, TN
National Provider Identifier
1932984564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3997
- Practice address
- 181 Dunlap Rd
Blountville, TN 37617-6333 - Phone
- (423) 323-7112
- NPI assigned
- Aug 30, 2023
- Last updated
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3997 | TN | Primary |
Addresses
Primary practice location
181 Dunlap Rd
Blountville, TN 37617-6333
Mailing address
1125 Breckenridge Dr
Johnson City, TN 37604-8101
Phone (423) 388-8286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3997 | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1932984564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 BRECKENRIDGE DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376048101",
"telephone_number": "423-388-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 DUNLAP RD",
"city": "BLOUNTVILLE",
"state": "TN",
"postal_code": "376176333",
"telephone_number": "423-323-7112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANCIL",
"first_name": "SARA",
"middle_name": "ABIGAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-30",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TN",
"license": "3997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blountville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.