JUDY SASSER STANFIELD (NPI# 1013992056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013992056 |
| Entity Type | Individual |
| Full Name | JUDY SASSER STANFIELD |
| Other Name | JUDY ELLEN SASSER |
| Credential | NP |
| Practice Address |
4600 Cumberland Rd Fayetteville NC 28306-2412 |
| Mailing Address |
3803 N Elm St Greensboro NC 27455-2593 |
| Practice Telephone | 9104291690 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2014-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
600110 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 500024589 | 01 | |
| MEDCOST | B3900 | 01 | |
| AETNA | 7370730 | 01 | |
| NC | 7000914 | 05 |
| Street Address |
4600 CUMBERLAND RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28306-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811540677 | Lisa Bolgar | Nurse Practitioner | 4600 Cumberland Rd, Fayetteville, NC 28306-2412 | 2019-07-22 |
| 1902990153 | Carolina Health Care Center of Cumberland County, Lp | Nursing Facility/Intermediate Care Facility | 4600 Cumberland Rd, Fayetteville, NC 28306-2412 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
| 1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
| 1245708213 | Catherine H Cox | Speech-Language Pathologist | Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 | 2018-11-08 |
| 1720446776 | Wal-mart Store East, Lp | Technician/Technologist | 2820 Gillespie St., Fayetteville, NC 28306 | 2016-02-05 |
| 1720460017 | Sridhar Gottipati | Pharmacist | 10072 Southern Ave., Fayetteville, NC 28306 | 2015-06-23 |
| 1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
| 1649696204 | Kathryn Dries | Nurse Practitioner | 7496 Rockfish Road, Fayetteville, NC 28306 | 2014-03-06 |
| 1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
| 1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
| 1184928848 | Hanora Medical Center, Pllc | Internal Medicine | 2620 Owen Dr, Fayetteville, NC 28306 | 2011-01-10 |
| Find all providers in zip 28306 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497120414 | Tumesha Lashay Williams | Nurse Practitioner | 1279 Highway 54 W Ste 100, Fayetteville, GA 30214-4551 | 2015-12-02 |
| 1467917468 | Holland Belline | Nurse Practitioner | 12 E Appleby Rd Ste 101, Fayetteville, AR 72703-3928 | 2019-02-04 |
| 1477004422 | Angela Marie Boivin | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2016-10-14 |
| 1225301708 | Adewale Ogunwo | Nurse Practitioner | 1905 Skibo Rd, Fayetteville, NC 28314-0260 | 2012-02-15 |
| 1528197027 | Florence Vimala Rathinam | Nurse Practitioner | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2007-03-02 |
| 1316959216 | Charles W Tevebaugh | Nurse Practitioner | 12 E Appleby, Suite 101, Fayetteville, AR 72703 | 2006-08-12 |
| 1417970930 | Linda N Jones | Nurse Practitioner | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2006-07-25 |
| 1295755742 | Wilma Arlene Mcadams | Nurse Practitioner | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309662 | Courtney Elaine Anderson | Nurse Practitioner | 101 E W T Harris Blvd Ste 1110, Charlotte, NC 28262-3454 | 2020-08-31 |
| 1649896150 | Richard Kral | Nurse Practitioner | 1697 Tellico Rd, Franklin, NC 28734-5955 | 2020-06-20 |
| 1194352963 | Tracy Shabu | Nurse Practitioner | 714 Windy Peak Loop, Cary, NC 27519-1886 | 2020-03-23 |
| 1871133850 | Stephanie M Canipe | Nurse Practitioner | 802 Woodmoore Ln, Kannapolis, NC 28081-5700 | 2020-01-08 |
| 1013551076 | Michelle Lowery | Nurse Practitioner | 805 E Peach St, Rowland, NC 28383-8613 | 2019-11-03 |
| 1629533146 | Kathy Parker Farley | Nurse Practitioner | 69 Darlington Dr, Broadway, NC 27505-9558 | 2019-02-08 |
| 1417427055 | Megan M Ribbing | Nurse Practitioner | 287 East St. Suite 221, Pittsboro, NC 27312 | 2018-11-27 |
| 1619472057 | Allyson Michele Baxter | Nurse Practitioner | 112 W Fire Tower Rd, Winterville, NC 28590-9475 | 2018-03-27 |
| 1669982039 | Christian Bernard Mikesell | Nurse Practitioner | Duke Geriatrics: 40 Medicine Circle Clinic 1j, Durham, NC 27710-4907 | 2017-10-11 |
| 1467970160 | Melissa Muller Rothrock | Nurse Practitioner | The Chapel Hill Residential Retirement Center, Inc. D/b, 750 Weaver Dairy Road, Chapel Hill, NC 27514-1438 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28306 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.