Individual provider Active NPI

Stacie Nicole Litteral, APRN

  • Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1235852005
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3018415 Issued in KY
Practice address
613 23Rd St Ste 430
Ashland, KY 41101-2885
Phone
(606) 408-8200
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3018415 KY Primary

Addresses

Primary practice location

613 23Rd St Ste 430
Ashland, KY 41101-2885

Mailing address

216 Huff St
Grayson, KY 41143-1321
Phone (606) 316-5972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221025002184 KY Practitioner - Nurse Practitioner 0749656221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, 397 clinicians

Practice addresses (Care Compare)

613 23Rd St
Suite 430
Ashland, KY 41101-2885
Phone (606) 408-8200

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • Kings Daughters Medical Center Ohio Hospital, Portsmouth, OH, CCN 360361
  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3018415KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Oct 10, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc., Nurse Practitioner CurrentSince Oct 10, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc Nurse Practitioner Current Accepting new patients
Kings Daughters Medical Specialties Inc Nurse Practitioner Past Accepting new patients

Locations

613 23rd St
Ste 440
Ashland, KY 41101
Phone (606) 329-2888

613 23rd St
Ste 430
Ashland, KY 41101
Phone (606) 408-8200

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

100 Bellefonte Dr
Grayson, KY 41143
Phone (606) 474-0669

354 N Mayo Trl
Paintsville, KY 41240
Phone (606) 372-0221

Interoperability endpoints

  • Direct secure messaging: slitteral20326@direct.kdhealth.us

Organizations & group practices 4

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 3

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1235852005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HUFF ST",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431321",
            "telephone_number": "606-316-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE 430",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012885",
            "telephone_number": "606-408-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTERAL",
        "first_name": "STACIE",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3018415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.