Individual provider Active NPI

Stacia Nichole Guillen, FNP-C

  • Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1609206523
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024178910 Issued in VA
Practice address
825 Diligence Dr Ste 226
Newport News, VA 23606-4293
Phone
(855) 940-4867
NPI assigned
Nov 13, 2013
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024178910 VA Primary
Nurse Practitioner 363L00000X C-APN.0105399-C-NP CO
Family Nurse Practitioner 363LF0000X 23757 CA
Registered Nurse 163W00000X 0001293135 VA
Registered Nurse 163W00000X 788745 CA

Addresses

Primary practice location

825 Diligence Dr Ste 226
Newport News, VA 23606-4293

Mailing address

4020 Thorngate Dr
Williamsburg, VA 23188-1426
Phone (714) 642-6149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251202000583 VA Practitioner - Nurse Practitioner 9234450040 Reassigns benefits to 2 organizations
I20260312003593 DC Practitioner - Nurse Practitioner 9234450040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians
Arman C Moshyedi MD PLLCGroup PAC ID 7911331665, 22 clinicians

Practice addresses (Care Compare)

4374 New Town Ave
Williamsburg, VA 23188-2865
Phone (757) 984-6140

825 Diligence Dr
Suite 226
Newport News, VA 23606-4293
Phone (757) 320-0224

8405 Greensboro Dr
Suite 120
MC Lean, VA 22102-5106
Phone (703) 356-1568

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
788745CAMDRegistered Nurse
0001293135VAMDRegistered Nurse
C-APN.0105399-C-NPCOMDNurse Practitioner
0024178910VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Urgent Care, LLC CurrentSince Jan 1, 2026 Accepting new patients
Arman C. Moshyedi, MD, PLLC CurrentSince Nov 13, 2025 Accepting new patients
Greenbrook TMS Roanoke PastSince Nov 21, 2017 Accepting new patients
Greenbrook TMS Midlothian LLC PastSince Oct 13, 2016 Accepting new patients

Locations

2560 Huntington Ave
Ste 306
Alexandria, VA 22303
Phone (703) 516-8880

1005 N Glebe Rd
Ste 450
Arlington, VA 22201
Phone (571) 257-3630

1010 N Glebe Rd
Ste 310
Arlington, VA 22201

44075 Pipeline Plz
Ste 125
Ashburn, VA 20147

1414 Sachem Pl
Ste 3
Charlottesville, VA 22901
Phone 43432716602252

11350 Random Hills Rd
Ste 250
Fairfax, VA 22030

10304 Spotsylvania Ave
Ste 106
Fredericksburg, VA 22408
Phone (540) 735-9757

100 Eastshore Dr
Ste 110
Glen Allen, VA 23059
Phone (804) 980-7520

8405 Greensboro Dr
Ste 120
McLean, VA 22102
Phone (571) 359-1171

2820 Waterford Lake Dr
Ste 201
Midlothian, VA 23112
Phone (804) 419-5780

825 Diligence Dr
Ste 226
Newport News, VA 23606
Phone (757) 320-0224

12359 Sunrise Valley Dr
Ste 200
Reston, VA 20191
Phone (703) 476-8700

2965 Colonnade Dr
Ste 307
Roanoke, VA 24018
Phone (540) 344-5300

596 Lynnhaven Pkwy
Ste 100
Virginia Beach, VA 23452
Phone (757) 802-4500

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

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, 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": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1609206523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 THORNGATE DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881426",
            "telephone_number": "714-642-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DILIGENCE DR STE 226",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064293",
            "telephone_number": "855-940-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "STACIA",
        "middle_name": "NICHOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178910",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0105399-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23757",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001293135",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "788745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.