Individual provider Active NPI

Whitney D Stacy, FNP-BC

  • Family Nurse Practitioner
  • Alice, TX
National Provider Identifier
1932444809
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
122361 Issued in TX
Practice address
700 Flournoy Rd Ste 2a
Alice, TX 78332-4088
Phone
(361) 664-1417
Fax
(361) 384-4368
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 754455 TX
Family Nurse Practitioner 363LF0000X 122361 TX Primary

Addresses

Primary practice location

700 Flournoy Rd Ste 2a
Alice, TX 78332-4088

Mailing address

204 E 1St St
Alice, TX 78332-4822
Phone (361) 664-0145

Other practice location 1

621 E Sinton St
Sinton, TX 78387-2801
Phone (361) 364-4486

Other practice location 2

1133 E Sinton St
Sinton, TX 78387-2928
Phone (361) 364-4486

Other practice location 3

1302 S St Marys St # Abd
Falfurrias, TX 78355-5034
Phone (361) 325-9404

Other practice location 4

115 W. Main St
Benavides, TX 78341
Phone (361) 256-3663

Other practice location 5

213 S Duval Street
Mathis, TX 78368-2613
Phone (361) 547-4121

Other practice location 6

301 S Hillside Dr Ste 5615
Beeville, TX 78102-5307
Phone (361) 362-0307

Other practice location 7

1311 General Cavazos Blvd Ste 303C
Kingsville, TX 78363-7123
Phone (361) 592-3237

Other identifiers 1

IdentifierTypeStateIssuer
312415801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150120001713 TX Practitioner - Nurse Practitioner 3476789116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Action Corporation of South TexasGroup PAC ID 9032003504, 16 clinicians

Practice addresses (Care Compare)

213 S Duval St
Mathis, TX 78368-2613
Phone (361) 547-4121

700 Flournoy Rd
Suite 2a
Alice, TX 78332-4088
Phone (361) 664-1417

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
754455TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Corporation of South Texas CurrentSince Oct 11, 2014 Accepting new patients
Community Action Corporation of South Texas CurrentSince Oct 11, 2014 Accepting new patients
Community Action Corporation of South Texas Current Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Community Action Corporation of South Texas Past Accepting new patients
Community Action Corporation of South Texas Past Accepting new patients

Locations

700 Flournoy Rd
Ste 2A
Alice, TX 78332
Phone (361) 664-1417

204 E 1st St
Alice, TX 78332
Phone (361) 664-0145

700 Flournoy Rd
Ste A
Alice, TX 78332

301 S Hillside Dr
Ste 5615
Beeville, TX 78102
Phone (361) 362-0307

1302 S St Marys St
Falfurrias, TX 78355
Phone (361) 325-9404

1311 E General Cavazos Blvd
Ste 303C
Kingsville, TX 78363
Phone (361) 592-3237

213 S Duval St
Mathis, TX 78368
Phone (361) 547-4121

1133 E Sinton St
Sinton, TX 78387
Phone (361) 364-4486

621 E Sinton St
Sinton, TX 78387
Phone (361) 364-4486

Interoperability endpoints

  • Direct secure messaging: whitney.stacy@cacost.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1932444809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 1ST ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324822",
            "telephone_number": "361-664-0145",
            "fax_number": "361-664-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FLOURNOY RD STE 2A",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324088",
            "telephone_number": "361-664-1417",
            "fax_number": "361-384-4368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 E Sinton St",
            "address_purpose": "LOCATION",
            "city": "Sinton",
            "state": "TX",
            "postal_code": "783872801",
            "country_code": "US",
            "telephone_number": "361-364-4486",
            "fax_number": "361-364-7385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1133 E Sinton St",
            "address_purpose": "LOCATION",
            "city": "Sinton",
            "state": "TX",
            "postal_code": "783872928",
            "country_code": "US",
            "telephone_number": "361-364-4486",
            "fax_number": "888-498-4259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 S St Marys St # Abd",
            "address_purpose": "LOCATION",
            "city": "Falfurrias",
            "state": "TX",
            "postal_code": "783555034",
            "country_code": "US",
            "telephone_number": "361-325-9404",
            "fax_number": "361-221-1728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 W. Main St",
            "address_purpose": "LOCATION",
            "city": "Benavides",
            "state": "TX",
            "postal_code": "78341",
            "country_code": "US",
            "telephone_number": "361-256-3663",
            "fax_number": "361-256-3989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 S Duval Street",
            "address_purpose": "LOCATION",
            "city": "MATHIS",
            "state": "TX",
            "postal_code": "783682613",
            "country_code": "US",
            "telephone_number": "361-547-4121",
            "fax_number": "361-384-4254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Hillside Dr Ste 5615",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781025307",
            "country_code": "US",
            "telephone_number": "361-362-0307",
            "fax_number": "361-492-5521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 General Cavazos Blvd Ste 303C",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783637123",
            "country_code": "US",
            "telephone_number": "361-592-3237",
            "fax_number": "361-221-1856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACY",
        "first_name": "WHITNEY",
        "middle_name": "D",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "754455",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "122361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312415801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.