STACY RICHARDSON


Address: 3100 Maccorkle Ave, Suite 700, Charleston, WV 25304-1223
Phone: 3043471204

STACY RICHARDSON (NPI# 1184862096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184862096
Entity Type Individual
Full Name STACY RICHARDSON
Credential RN,MSN,FNP-C
Practice Address 3100 Maccorkle Ave
Suite 700
Charleston
WV 25304-1223
Practice Telephone 3043471204
Practice Fax Number 3043471259
Mailing Telephone 3043471204
Mailing Fax Number 3043471259
Enumeration Date 2009-01-30
Last Update Date 2018-01-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
44522 WV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810014885 05

Other Providers STACY RICHARDSON

NPI Name Taxonomy Address Enumeration
1386951499 Stacy Richardson Counselor 521 Park Cres, Norfolk, VA 23511-4009 2010-09-10
1891968293 Stacy Emmanuel Richardson Anesthesiology 4802 E Johnson Ave, Jonesboro, AR 72401-8413 2008-04-07
1942302344 Stacy D Richardson Pharmacist 800 Zorn Ave, Louisville, KY 40206-1433 2006-09-05

Office Location

Street Address 3100 MACCORKLE AVE
SUITE 700
City CHARLESTON
State WV
Zip Code 25304-1223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720075369 Emily Kathryn Montgomery-deem Physician Assistant 3100 Maccorkle Ave, Charleston, WV 25304-1223 2005-09-29
1194143123 Michelle Murray Nurse Practitioner 3100 Maccorkle Ave, Suite 509, Charleston, WV 25304-1223 2014-04-07
1811243660 Jocelyn Renea Slone Nurse Practitioner 3100 Maccorkle Ave, Suite 700, Charleston, WV 25304-1223 2012-07-31
1710128541 Charleston Diabetes & Endocrine Consultants, Pllc Internal Medicine 3100 Maccorkle Ave, Suite 810, Charleston, WV 25304-1223 2009-03-06
1851544530 Wvupc-camc Medical Staff Family Medicine 3100 Maccorkle Ave, Charleston, WV 25304-1223 2008-10-28
1124236310 Terence Rhodes Internal Medicine 3100 Maccorkle Ave, Suite 101, Charleston, WV 25304-1223 2007-05-19
1316018757 Farah H Garmany Pediatrics 3100 Maccorkle Ave, Suite 808, Charleston, WV 25304 2006-11-09
1447329792 F&f Garmany Inc Specialist 3100 Maccorkle Ave, Suite 808, Charleston, WV 25304-1223 2006-11-08
1699875468 Kimberly A Rossi Specialist 3100 Maccorkle Ave, Suite201, Charleston, WV 25304-1223 2006-09-22
1528027158 Pamela Kay Mcdevitt Pharmacist 3100 Maccorkle Ave, Suite 101, Charleston, WV 25304-1223 2006-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740893908 Sade Yvonne Rice Technician 392 B South Parkd Rd, Charleston, WV 25304 2020-08-27
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1447811872 Kwasi Amponsah Gambrah Student in an Organized Health Care Education/Training Program 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 2019-06-26
1457916751 Divya Kalluru Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 2019-05-02
1841854965 Sean Michael Percy Losier Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 2019-04-24
1700440047 Priyanka Chowdhry Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 2019-04-23
1568925469 Saranya Dinesan Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 2019-04-09
1043771694 Mary Elizabeth Novak Student in an Organized Health Care Education/Training Program Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 2019-03-27
1124518600 Abdullah Sohail Student in an Organized Health Care Education/Training Program 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 2018-05-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417557737 Diondra Johnson Nurse Practitioner 2327 Watchtower Ln, Charleston, SC 29414-7803 2020-10-27
1427656735 Kisha Lanece James Nurse Practitioner 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 2020-10-09
1043822216 Amber Bagwell Nurse Practitioner 442 King St Fl 2, Charleston, SC 29403-6230 2020-08-19
1790396273 Amanda Jo Grant Nurse Practitioner 2207 Seneca Dr, Charleston, IL 61920-3836 2020-08-10
1811514961 Isabel Margarita Lemasters Nurse Practitioner 3226 Moonlight Dr, Charleston, SC 29414-8052 2020-07-05
1255954566 Christina L. White Nurse Practitioner 1199 Persimmon Rd, Charleston, IL 61920 2020-05-20
1770123929 Catherine A. Woods Nurse Practitioner 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 2020-01-15
1104464999 Brittany D Griffith Nurse Practitioner 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 2019-12-12
1437795747 Brigitte Britt Huttemeyer Nurse Practitioner 678 Castle Pinckney Dr, Charleston, SC 29412 2019-11-21
1124660774 Dennis Robert Moore Nurse Practitioner 4610 Kanawha Ave Sw Ste 302, Charleston, WV 25309-1367 2019-10-16
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Competitor

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City CHARLESTON
Zip Code 25304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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