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MS. MARY BETH STACK NURSE PRACTITIONER NPI 1437234770


NPI Information

NPI: 1437234770
Provider Name: MS. MARY BETH STACK, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual
Address:
2955 IVY RD
SUITE 201 UNIVERSITY OF VIRGINIA HEALTH SYSTEM NORTHRID
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 243-4531
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MS. Mary Beth Stack, NURSE PRACTITIONER is a nurse practitioner in Charlottesville, VA. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MS. Mary Beth Stack, NURSE PRACTITIONER NPI is 1437234770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2955 IVY RD
SUITE 201 UNIVERSITY OF VIRGINIA HEALTH SYSTEM NORTHRID
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 243-4531
Fax: (434) 243-4717

The enumeration date for this NPI number is 10/26/2006 and was last updated on 1/6/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse0001096552VIRGINIANo
2363L00000XNurse Practitioner0024096552VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500029674OTHERRAILROAD
2C07038OTHERCMS GROUP
3P39395MEDICARE UPIN
4500000941MEDICARE ID-TYPE UNSPECIFIED

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

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.