Individual provider Active NPI

Stacie Anne Westmoreland, FNP-BC

  • Family Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1972335131
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36952 Issued in TN
Practice address
18312 Middlebelt Rd
Livonia, MI 48152-5007
Phone
(228) 257-5346
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36952 TN Primary

Addresses

Primary practice location

18312 Middlebelt Rd
Livonia, MI 48152-5007

Mailing address

18312 Middlebelt Rd
Livonia, MI 48152-5007
Phone (228) 257-5346

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
I20240910001988 TN Practitioner - Nurse Practitioner 7113467788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Clinic at the Lake PLLCGroup PAC ID 7012246069, 3 clinicians

Practice addresses (Care Compare)

10730 Hwy 57
Counce, TN 38326
Phone (731) 689-4357

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Rehab Group, P.C. CurrentSince Jul 25, 2024 Accepting new patients
Family Clinic at the Lake PLLC CurrentSince Jun 1, 2025 Accepting new patients
Total Extended Care Services PC CurrentSince Aug 20, 2024 Accepting new patients
Melanie a Reaves PLLC PastSince Jan 1, 2019 Accepting new patients

Locations

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

10730 Highway 57
Counce, TN 38326
Phone (731) 689-4357

11268 Highway 57
Counce, TN 38326
Phone (731) 438-3456

616 W Forest Ave
Jackson, TN 38301
Phone (731) 422-0330

60 Lynoak Cv
Jackson, TN 38305
Phone (731) 664-7744

7512 Middlebrook Pike
Knoxville, TN 37909
Phone (865) 474-7690

727 E Church St
Lexington, TN 38351
Phone (731) 432-9461

Organizations & group practices 4

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 2

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": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1972335131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18312 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481525007",
            "telephone_number": "228-257-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18312 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481525007",
            "telephone_number": "228-257-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTMORELAND",
        "first_name": "STACIE",
        "middle_name": "ANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.