STACY HOLLEY FNP NPI 1144647652

NPI Information

NPI: 1144647652
Provider Name: STACY HOLLEY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: RACINE OBSERVATION MEDICAL GROUP, PLLC

PECOS Registration: Yes

Address:
2900 FIRST AVENUE
ROOM 1025
HUNTINGTON, WV
ZIP 25702
Phone: (304) 399-7484
Get Directions

Stacy Holley, FNP is a family nurse practitioner in Huntington, WV with 12 years of experience. Stacy Holley, FNP NPI is 1144647652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

2900 FIRST AVENUE
ROOM 1025
HUNTINGTON, WV
ZIP 25702-241
Phone: (304) 399-7484
Fax: (304) 399-7579

The NPI 1144647652 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2014 and was last updated on 5/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	84657	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3053133	OTHER	WEST VIRGINIA	BCBS
2	WV4093A	MEDICARE PIN	WEST VIRGINIA
3	7100295790	MEDICAID	KENTUCKY
4	0102228	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »