Individual provider Active NPI

Laura Britton Stace, MSN, RN, CPNP

  • Pediatric Nurse Practitioner
  • Luray, VA
National Provider Identifier
1447634894
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024173476 Issued in VA
Practice address
250 Memorial Dr
Suite C
Luray, VA 22835-1000
Phone
(703) 477-0746
NPI assigned
Jul 15, 2015
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024173476 VA Primary
Registered Nurse 163W00000X 26NR17950300 NJ
Registered Nurse 163W00000X 686228 NY
Pediatric Registered Nurse 163WP0200X 0001263723 VA

Addresses

Primary practice location

250 Memorial Dr
Suite C
Luray, VA 22835-1000

Mailing address

250 Memorial Dr
Suite C
Luray, VA 22835-1000
Phone (540) 843-4624

Other practice location 1

1870 Amherst St Ste C
Winchester, VA 22601-2841
Phone (540) 536-0110

Other practice location 2

505 Williams Ave
Shenandoah, VA 22849-1263
Phone (540) 652-9100

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address lstace114457@soc.inova.org
Direct Messaging Address lstace114457@soc.inova.org
Direct Messaging Address lstace114457@soc.inova.org

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
I20160811001155 VA Practitioner - Nurse Practitioner 0446544563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR17950300NJMDRegistered Nurse
686228NYMDRegistered Nurse
0024173476VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Page Memorial Hospital, Inc. CurrentSince May 21, 2016 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince May 21, 2016 Accepting new patients
Page Memorial Hospital, Inc. Current Accepting new patients

Locations

135 Memorial Dr
Luray, VA 22835
Phone (540) 743-2887

250 Memorial Dr
Luray, VA 22835
Phone (540) 743-6558

250 Memorial Dr
#C
Luray, VA 22835
Phone (540) 743-3541

250 Memorial Dr
#D
Luray, VA 22835
Phone (540) 743-6558

505 Williams Ave
Shenandoah, VA 22849
Phone (540) 652-9100

235 Medical Dr
Stanley, VA 22851
Phone (540) 778-3484

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

Interoperability endpoints

  • Direct secure messaging: lstace114457@soc.inova.org
  • Direct secure messaging: lstace114457@valleyhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447634894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MEMORIAL DR",
            "address_2": "SUITE C",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351000",
            "telephone_number": "540-843-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MEMORIAL DR",
            "address_2": "SUITE C",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351000",
            "telephone_number": "703-477-0746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 Amherst St Ste C",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012841",
            "country_code": "US",
            "telephone_number": "540-536-0110",
            "fax_number": "540-536-0135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Williams Ave",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "VA",
            "postal_code": "228491263",
            "country_code": "US",
            "telephone_number": "540-652-9100",
            "fax_number": "540-952-9119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACE",
        "first_name": "LAURA",
        "middle_name": "BRITTON",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024173476",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR17950300",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "686228",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "VA",
            "license": "0001263723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lstace114457@soc.inova.org",
            "affiliation": "N",
            "address_1": "505 Williams Ave",
            "city": "Shenandoah",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228491263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lstace114457@soc.inova.org",
            "affiliation": "N",
            "address_1": "250 Memorial Dr",
            "address_2": "Suite C",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lstace114457@soc.inova.org",
            "affiliation": "N",
            "address_1": "135 Memorial Dr",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Luray, VA

Sources for this page

Verify at the official NPI Registry.