Individual provider Active NPI

Karen Stallard, NP

  • Family Nurse Practitioner
  • Big Stone Gap, VA
National Provider Identifier
1154339869
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP0024107007 Issued in VA
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

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
007786409MedicaidVA
78004983MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080623000361 VA Practitioner - Nurse Practitioner 4587735386 Reassigns benefits to 2 organizations

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
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

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

LicenseStateTypeSpecialty
NP0024107007VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Community Physician Services LLC CurrentSince Jul 1, 2024 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Jul 1, 2012 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Norton Community Physician Services LLC CurrentSince Jul 1, 2024 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.