Organization Active NPI

Hidden Valley Healthcare PLLC

  • Primary Care Clinic/Center
  • Grayson, KY
National Provider Identifier
1942164546
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HIDDEN VALLEY HEALTHCARE PLLC
Practice address
174 Challenger Rd
Grayson, KY 41143-1783
Phone
(606) 315-8515
NPI assigned
Dec 10, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Whitney Stidham, APRNNPI 1720616196
Title
Ceo
Phone
(606) 315-8515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Primary Care Nurse Practitioner 363LP2300X

Addresses

Primary practice location

174 Challenger Rd
Grayson, KY 41143-1783

Mailing address

174 Challenger Rd
Grayson, KY 41143-1783
Phone (606) 315-8515

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1942164546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 CHALLENGER RD",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431783",
            "telephone_number": "606-315-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 CHALLENGER RD",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431783",
            "telephone_number": "606-315-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN VALLEY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "STIDHAM",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-315-8515",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.