Stacy D Royall, NP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024177404 Issued in VA

Practice address

401 W Main St
Radford, VA 24141-1588

Phone

(540) 961-8300

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacy D Goddard Former name

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New River Valley Community ServicesGroup PAC ID 3173518230, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• New River Valley Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blacksburg, VA
  • NPI 1942304126
  Medicare reassignment Care Compare group NPD
• New River Valley Community Services

  • Family Medicine Physician
  • Blacksburg, VA
  • NPI 1922633544
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1417500307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 KESSLER MILL RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533048",
            "telephone_number": "540-505-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411588",
            "telephone_number": "540-961-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 Kessler Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241533048",
            "country_code": "US",
            "telephone_number": "540-505-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 University City Blvd",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240602706",
            "country_code": "US",
            "telephone_number": "540-961-8300",
            "fax_number": "540-961-8465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROYALL",
        "first_name": "STACY",
        "middle_name": "D",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "GODDARD",
            "middle_name": "D",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah S Ring, FNP-C
• Cynthia D Ritchey, LPC
• Riverbend Counseling, LLC
• Rania Bajwa Rosborough, M.D.
• Brigitte K Rotche, M.D.
• David R Ryan
• Ashley Ann Sage, COTA/L
• Kristina R. Samson, PA-C
• Karen Scalf-Benham, FNP-C
• Peter Schultz

• Nurse Practitioner in Radford, VA
• Providers in Radford, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.

Verify at the official NPI Registry.