Individual provider Active NPI

Lauren Stanley, FNP-BC

  • Family Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1982050001
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130931 Issued in TX
Practice address
1000 E 5TH St Ste 100
Tyler, TX 75701-3307
Phone
(903) 596-3500
Fax
(903) 596-3536
NPI assigned
May 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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 AP130931 TX Primary

Addresses

Primary practice location

1000 E 5TH St Ste 100
Tyler, TX 75701-3307

Mailing address

1000 E 5TH St Ste 100
Tyler, TX 75701-3307
Phone (903) 596-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160930000696 TX Practitioner - Nurse Practitioner 3173810462 Reassigns benefits to 1 organization
I20210729000847 AL Practitioner - Nurse Practitioner 3173810462 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP130931TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Sep 1, 2024 Accepting new patients
Med Help 280 LLC CurrentSince Jun 30, 2021 Accepting new patients
Etmc Physician Group Inc. CurrentSince Sep 1, 2024 Accepting new patients
Radiology Associates of North Texas PA Past Accepting new patients

Locations

800 Lakeshore Dr
Birmingham, AL 35229
Phone (205) 726-2011

4600 Highway 280
Birmingham, AL 35242
Phone (205) 408-1231

1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996

151 Narrows Pkwy
Ste 110
Birmingham, AL 35242
Phone (205) 444-9550

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1000 E 5th St
Ste 400
Tyler, TX 75701
Phone (903) 593-1749

1000 E 5th St
Ste 100
Tyler, TX 75701
Phone (903) 590-5000

1000 E 5th St
Ste 200
Tyler, TX 75701
Phone (903) 594-2666

Interoperability endpoints

  • Direct secure messaging: lauren.stanley.2@17217.direct.athenahealth.com
  • Direct secure messaging: lstanley1138343@ahs.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1982050001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 5TH ST STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013307",
            "telephone_number": "903-596-3500",
            "fax_number": "903-596-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 5TH ST STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013307",
            "telephone_number": "903-596-3500",
            "fax_number": "903-596-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "LAUREN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-07",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.