STACEY L BINKLEY (NPI# 1093718264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093718264 |
| Entity Type | Individual |
| Full Name | STACEY L BINKLEY |
| Credential | NP |
| Practice Address |
490 Dunlop Ln Clarksville TN 37040-5007 |
| Mailing Address |
127 Crestview Park Dr Dickson TN 37055-2855 |
| Practice Telephone | 9312457001 |
| Practice Fax Number | 9312457069 |
| Mailing Telephone | 6154465121 |
| Mailing Fax Number | 6154461357 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2016-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN7397 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD TN | 4104478 | 01 |
| TN | 3906476 | 05 | |
| RAILROAD MEDICARE PIN | 500014543 | 01 |
| Street Address |
490 DUNLOP LN |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010106 | Jamie Renae Tolley | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2020-10-12 |
| 1760944847 | Wendi-jo Lewis | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2019-04-05 |
| 1013489467 | Brittney Wilkinson Lesser | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2018-12-26 |
| 1215468541 | Adebukola Ajagunna | Pediatrics | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2017-03-27 |
| 1568993335 | Sayanna Garcia | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2017-03-23 |
| 1033655964 | Valerie Knight | Registered Nurse | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2017-01-17 |
| 1942757042 | Jennifer Marie Cooke | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040 | 2016-09-06 |
| 1053775262 | Kwame Frimpong | Family Medicine | 490 Dunlop Ln, Clarksville, TN 37040 | 2016-04-13 |
| 1518327337 | Denise Oram | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2016-03-07 |
| 1053792002 | Kayla Shelton | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2015-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
| 1497367981 | Kinjal Bhatt | Nurse Practitioner | 5805 Wild Orange Gate, Clarksville, MD 21029-1657 | 2020-08-18 |
| 1568087625 | Holly A Woosley | Nurse Practitioner | 746 W Kenwood Ave, Clarksville, IN 47129-2545 | 2020-06-14 |
| 1881222461 | Michelle G Rowan | Nurse Practitioner | 13515 Highland Rd, Clarksville, MD 21029-1427 | 2020-03-30 |
| 1669026258 | Ashley M Hettinger | Nurse Practitioner | 1455 Cedar St Ste D, Clarksville, IN 47129-7700 | 2019-07-31 |
| 1093375040 | Scarlett Hancock | Nurse Practitioner | 116 Commerce St, Clarksville, TN 37040-3641 | 2019-06-20 |
| 1336702067 | Leslea Renae Streetman | Nurse Practitioner | 525 Rosewood Dr, Clarksville, TN 37043-5126 | 2019-04-18 |
| 1629556980 | Julie Mcintosh | Nurse Practitioner | 1690 Fort Campbell Blvd, Clarksville, TN 37042-7531 | 2018-07-30 |
| 1720576218 | Chelsey Meek | Nurse Practitioner | 4101 Lena Ct, Clarksville, TN 37043-7625 | 2018-04-30 |
| 1316440696 | Kayla Vanden Hull | Nurse Practitioner | 3147 Cross Ridge Dr, Clarksville, TN 37040-5799 | 2018-03-13 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on STACEY L BINKLEY.
| 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.