Stacy Van Weddinger

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

341817 Issued in NY

Practice address

4 Village Way Unit L5
Vernon, NJ 07462-3112

Phone

(973) 768-7182

NPI assigned

Jun 24, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1790673358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VILLAGE WAY UNIT L5",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 VILLAGE WAY UNIT L5",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623112",
            "telephone_number": "973-768-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WEDDINGER",
        "first_name": "STACY",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP08154300",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "341817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Lee Thayer, RPH
• Kimberly Thornton, FNP-C
• Ashley L Tomasini, FNP
• True Light Mobile Radiography
• Jacqueline Valencia-Clarke, LCSW
• Vernon Counseling Services
• Vernon Dental Arts, LLC
• Vernon Nutrition Center, LLC
• Vernon Township Health Dept
• Vernon Township School District

• Licensed Practical Nurse in Vernon, NJ
• Providers in Vernon, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.