Michaela Stafford, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

21837 Issued in TN

Practice address

2121 N Locust Ave
Suite 1
Lawrenceburg, TN 38464-4454

Phone

(931) 762-5988

Fax

(931) 762-3389

NPI assigned

Sep 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michaela.stafford.1@19363.direct.athenahealth.com

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.

• Amg-Crockett, LLC

  • Family Medicine Physician
  • Lawrenceburg, TN
  • NPI 1326550732
  Medicare reassignment NPD
• Amg-Crockett, LLC

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1891580858
  NPD
• Amg -Southern Tennessee LLC

  • Internal Medicine Physician
  • Monteagle, TN
  • NPI 1699792390
  NPD (past)

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1972052603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N LOCUST AVE",
            "address_2": "SUITE 1",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644454",
            "telephone_number": "931-762-5988",
            "fax_number": "931-762-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N LOCUST AVE",
            "address_2": "SUITE 1",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644454",
            "telephone_number": "931-762-5988",
            "fax_number": "931-762-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "MICHAELA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "21837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Tennessee Anesthesia Associates
• Southern Tennessee Applied Behavior Analysis LLC
• Hannah Spears, OTR/L
• Speech Language & Learning Center of TN
• Caitlyn Spivy
• Jamie Leigh Staggs, LPC-MHSP
• Homer Lee Staley, M.D.
• State of Tennessee
• Gabryel Stepanick, OTR/L
• Leah Stone

• Pediatric Nurse Practitioner in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.