Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elive M Stanly

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1730998782

Elive M Stanly is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Arizona, District of Columbia, Massachusetts and Texas.

Years since qualifying
2
Licensed in
AZ, DC, MA, TX
In the registry since
2025
Specialties on file
4
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Practice location Address checks out

2703 Fort Baker Dr SE Apt 1
Washington, DC 20020-7274
Phone: (240) 244-4863
Fax: (443) 513-2664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9950 W Indian School Rd Unit 8, Phoenix, AZ 85037-5912 — (240) 244-4863
  • 101 Arboretum Way, Burlington, MA 01803-3827 — (240) 244-4863

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CN221201831 (DC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN2391911 (MA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 328612 (AZ)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence 966854 (TX)

Record details

NPI number1730998782
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 4, 2025
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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