Individual provider Active NPI

Amy Lynn Stanley, CRNP

  • Primary Care Nurse Practitioner
  • Fairhope, AL
National Provider Identifier
1972250652
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-094418 Issued in AL
Practice address
341 Greeno Rd N
Fairhope, AL 36532-2979
Phone
(251) 928-2401
Fax
(251) 928-5099
NPI assigned
Mar 3, 2022
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-094418 AL Primary

Addresses

Primary practice location

341 Greeno Rd N
Fairhope, AL 36532-2979

Mailing address

1720 Spring Hill Ave Ste 3
Mobile, AL 36604-1410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220622003522 AL Practitioner - Nurse Practitioner 6507245446 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

341 Greeno Rd N
Fairhope, AL 36532-2979
Phone (251) 928-2401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-094418ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthopaedic Alliance PLLC CurrentSince Oct 1, 2023 Accepting new patients
Bayside Orthopedic & Rehabilitation Center PC CurrentSince May 2, 2022 Accepting new patients
Bayside Orthopaedic & Rehabilitation Center, P.C. CurrentSince May 2, 2022 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Jan 1, 2023 Accepting new patients
Southern Orthopaedic Alliance, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

1121 Belleville Ave
Ste A
Brewton, AL 36426
Phone (251) 809-0920

341 Greeno Rd N
Fairhope, AL 36532
Phone (251) 210-1320

1622 N McKenzie St
Foley, AL 36535
Phone (251) 928-9954

1720 Spring Hill Ave
Fl 3
Mobile, AL 36604
Phone (251) 435-1164

1720 Spring Hill Ave
Ste 3
Mobile, AL 36604

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

Interoperability endpoints

  • Direct secure messaging: astanley@bosm2201.srs-direct.com
  • Direct secure messaging: astanley114932@directinfirmaryhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1972250652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE STE 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 GREENO RD N",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322979",
            "telephone_number": "251-928-2401",
            "fax_number": "251-928-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-094418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.