Individual provider Active NPI

Stacy L Konyar, FNP-C

  • Family Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1972806404
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169089 Issued in VA
Practice address
878 Fox Dr
Winchester, VA 22603-8613
Phone
(540) 546-2624
NPI assigned
Dec 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024169089 VA Primary

Addresses

Primary practice location

878 Fox Dr
Winchester, VA 22603-8613

Mailing address

878 Fox Dr
Winchester, VA 22603-8613
Phone (540) 546-2624

Other identifiers 1

IdentifierTypeStateIssuer
0024169089OtherVALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.healinghandsfp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110314000247 VA Practitioner - Nurse Practitioner 9133301054 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Integrated Wellness & Primary Care Family CurrentSince Feb 22, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

878 Fox Dr
Winchester, VA 22603
Phone (540) 546-2624

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28421/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stacy.konyar.1@28421.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Hands Integrated Wellness and Primary Care 8 clinicians

Practice addresses (Care Compare)

878 Fox Dr
Winchester, VA 22603-8613
Phone (540) 546-2624

Hospital & facility affiliations

  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1972806404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 FOX DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226038613",
            "telephone_number": "540-546-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 FOX DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226038613",
            "telephone_number": "540-546-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONYAR",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0024169089",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.healinghandsfp.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "provider information",
            "address_1": "878 Fox Dr",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226038613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.