Active NPI
Stacy Amanda Garrard, FNP-C
- Family Nurse Practitioner
- Huntington, WV
National Provider Identifier
1669860896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F1214239
- Practice address
- 540 10TH St
Huntington, WV 25701 - Phone
- (304) 399-3366
- Fax
- (304) 522-0091
- NPI assigned
- Dec 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F1214239 | WV | Primary |
Addresses
Primary practice location
540 10TH St
Huntington, WV 25701
Mailing address
2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396
Other practice location 1
563 County Route 34/39
Hurricane, WV 25526
Phone (304) 757-5063
Other practice location 2
2900 1st Ave
Huntington, WV 25702-1241
Phone (304) 526-1026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810028601 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1214239 | WV | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1669860896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2585 3RD AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257031642",
"telephone_number": "304-697-1396",
"fax_number": "304-697-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 10TH ST",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25701",
"telephone_number": "304-399-3366",
"fax_number": "304-522-0091"
}
],
"practiceLocations": [
{
"address_1": "563 County Route 34/39",
"address_purpose": "LOCATION",
"city": "Hurricane",
"state": "WV",
"postal_code": "25526",
"country_code": "US",
"telephone_number": "304-757-5063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 1st Ave",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257021241",
"country_code": "US",
"telephone_number": "304-526-1026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRARD",
"first_name": "STACY",
"middle_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-22",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "F1214239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810028601",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.