Individual provider Active NPI

Stacy Denise Coward, RN

  • Psychiatric/Mental Health Registered Nurse
  • Virginia Beach, VA
National Provider Identifier
1053411686
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN1169953 Issued in VA
Practice address
1924 Stillmeadow CT
Virginia Beach, VA 23456-4940
Phone
(321) 287-4927
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN9231733 FL
Psychiatric/Mental Health Registered Nurse 163WP0808X RN1169953 VA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1924 Stillmeadow CT
Virginia Beach, VA 23456-4940

Mailing address

1924 Stillmeadow CT
Virginia Beach, VA 23456-4940
Phone (321) 287-4927

Other identifiers 2

IdentifierTypeStateIssuer
RN1169953OtherVAREGISTERED NURSE LICENSE
RN9231733OtherFLREGISTERED NURSE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312002253 VA Order and Referring Only - Mental Health Counselor 8426427816

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9231733FLMDPsychiatric/Mental Health Registered Nurse
RN1169953VAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Solution Current Accepting new patients
Uom, Inc Current Accepting new patients
Unlimited Homehealth Services, LLC Current Accepting new patients

Organizations & group practices 3

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1053411686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 STILLMEADOW CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564940",
            "telephone_number": "321-287-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 STILLMEADOW CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564940",
            "telephone_number": "321-287-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWARD",
        "first_name": "STACY",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9231733",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "VA",
            "license": "RN1169953",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "RN1169953",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "RN9231733",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.