Stacy Davis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024176592 Issued in VA

Practice address

200 E 5TH St
Chase City, VA 23924-1456

Phone

(434) 372-0900

NPI assigned

Feb 13, 2019

Sex

Female

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2019.

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1578029609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 5TH ST",
            "city": "CHASE CITY",
            "state": "VA",
            "postal_code": "239241456",
            "telephone_number": "434-372-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 5TH ST",
            "city": "CHASE CITY",
            "state": "VA",
            "postal_code": "239241456",
            "telephone_number": "434-372-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STACY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase City Rescue Squad, Inc.
• Joyce J Cheenath
• Stefanie Cramer, DPT
• Brittney Angel Crews, LPTA
• Amy Katherine Daniels, DNP, AGNP
• Martin Tyler Deal, M.D.
• Dominion Health Medical Assoc
• Debora Ann Duckett
• Ezephysical Therapy LLC
• Danielle Delilah Faught, PTA

• All providers in Chase City, VA
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.