Active NPI
Karen Stallard, NP
- Family Nurse Practitioner
- Big Stone Gap, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP0024107007
- Practice address
- 323 Cloverleaf SQ
#1
Big Stone Gap, VA 24219-2760 - Phone
- (276) 523-6715
- Fax
- (276) 523-6715
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP0024107007 | VA | Primary |
Addresses
Primary practice location
323 Cloverleaf SQ
#1
Big Stone Gap, VA 24219-2760
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
515 Front St W
Coeburn, VA 24230-3607
Phone (276) 395-2389
Other practice location 2
671 Highway 58 E
Norton, VA 24273-3007
Phone (276) 679-5874
Other practice location 3
743 Island Rd
Bristol, VA 24201-7403
Phone (276) 469-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007786409 | Medicaid | VA | |
| 78004983 | Medicaid | KY |
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- East Tennessee State University Quillen College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (423) 230-8200
515 Front St W
Coeburn, VA 24230-3607
Phone (276) 395-2389
671 Hwy 58 E
Norton, VA 24273-3007
Phone (276) 679-5874
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP0024107007 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Community Physician Services LLC | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Community Physician Services LLC | Current | Accepting new patients | |
| Wellmont Physician Services Inc | Past | Accepting new patients |
Locations
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
323 Cloverleaf Sq
#1
Big Stone Gap, VA 24219
Phone (276) 523-6715
743 Island Rd
Bristol, VA 24201
Phone (276) 469-4200
98 15th St NW
Ste 208
Norton, VA 24273
Phone (276) 679-7600
100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140
671 Highway 58 E
Norton, VA 24273
Phone (276) 679-5874
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Norton, VA
- NPI 1861674160
-
- Family Medicine Physician
- Big Stone Gap, VA
- NPI 1174808216
-
- Internal Medicine Physician
- Pennington Gap, VA
- NPI 1841098175
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Internal Medicine Physician
- Big Stone Gap, VA
- NPI 1619095403
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Big Stone Gap, VA
- NPI 1801826912
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1154339869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 CLOVERLEAF SQ",
"address_2": "#1",
"city": "BIG STONE GAP",
"state": "VA",
"postal_code": "242192760",
"telephone_number": "276-523-6715",
"fax_number": "276-523-6715"
}
],
"practiceLocations": [
{
"address_1": "515 Front St W",
"address_purpose": "LOCATION",
"city": "Coeburn",
"state": "VA",
"postal_code": "242303607",
"country_code": "US",
"telephone_number": "276-395-2389",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "671 Highway 58 E",
"address_purpose": "LOCATION",
"city": "Norton",
"state": "VA",
"postal_code": "242733007",
"country_code": "US",
"telephone_number": "276-679-5874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "743 Island Rd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "VA",
"postal_code": "242017403",
"country_code": "US",
"telephone_number": "276-469-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STALLARD",
"first_name": "KAREN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "NP0024107007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007786409",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78004983",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Big Stone Gap, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.