Individual provider Active NPI

Stacey Such, CRNA

  • Certified Registered Nurse Anesthetist
  • Smithfield, VA
National Provider Identifier
1235476508
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024171202 Issued in VA
Practice address
19339 Benns Grant Blvd
Smithfield, VA 23430-6393
Phone
(757) 674-8000
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024171202 VA Primary
Registered Nurse 163W00000X RN177030 AZ

Addresses

Primary practice location

19339 Benns Grant Blvd
Smithfield, VA 23430-6393

Mailing address

705 Heatherhurst CT
Clarksville, TN 37043-7222
Phone (615) 618-5911

Other practice location 1

8424 E Shea Blvd
Ste. 101
Scottsdale, AZ 85260-6662
Phone (480) 256-1520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131112001774 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820224306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6000

760 McGuire PL
Newport News, VA 23601-1630

760 McGuire PL FL
Suite 2
Newport News, VA 23601-1630

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN177030AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia PC CurrentSince Feb 1, 2026 Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC CurrentSince Nov 15, 2013 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Feb 1, 2026 Accepting new patients

Locations

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

760 McGuire Pl
Fl 2
Newport News, VA 23601
Phone (757) 591-2260

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

19339 Benns Grant Blvd
Smithfield, VA 23430
Phone (757) 534-5000

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.

Hospital & facility affiliations 1

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": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1235476508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 HEATHERHURST CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370437222",
            "telephone_number": "615-618-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19339 BENNS GRANT BLVD",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234306393",
            "telephone_number": "757-674-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8424 E Shea Blvd",
            "address_2": "Ste. 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606662",
            "country_code": "US",
            "telephone_number": "480-256-1520",
            "fax_number": "480-478-6628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUCH",
        "first_name": "STACEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024171202",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN177030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.