Stacey Webster

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126003162 Issued in VA

Practice address

10400 Nokesville Rd
Manassas, VA 20110-4141

Phone

(720) 771-7623

NPI assigned

Feb 24, 2020

Last updated

Feb 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: stnwebster@concentra.com

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1023642600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 FOREST AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 NOKESVILLE RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104141",
            "telephone_number": "720-771-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC",
            "identifier": "BOC110728",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stnwebster@concentra.com",
            "affiliation": "N",
            "address_1": "10400 Nokesville Rd",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201104141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dori Webb
• Amanda Elizabeth Wedge
• Zachary David Weidner, M.D.
• Raymond S Weinstein, M.D.
• Laurie Ann Weiss-Braunstein, L.C.S.W.
• Juan Weiss, M.D.

• Athletic Trainer in Manassas, VA
• Providers in Manassas, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.