MELISSA NICKELS STACY (NPI# 1922193812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922193812 |
| Entity Type | Individual |
| Full Name | MELISSA NICKELS STACY |
| Credential | P.A.C. |
| Practice Address |
231 Medical Park Dr Ste 300 Bluefield VA 24605-1531 |
| Mailing Address |
141 Ben Bolt Ave Tazewell VA 24651-9700 |
| Practice Telephone | 2763225400 |
| Practice Fax Number | 2763225777 |
| Mailing Telephone | 2769888850 |
| Mailing Fax Number | 2769888786 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110840809 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 141 Ben Bolt Ave, Tazewell, VA 246519700 | 2769888850 | 2769888786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134753171 | Melissa Louise Stacy | Case Manager/Care Coordinator | 111 W Water St, Chillicothe, OH 45601-2452 | 2020-02-28 |
| Street Address |
231 MEDICAL PARK DR STE 300 |
| City | BLUEFIELD |
| State | VA |
| Zip Code | 24605-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689282295 | Jordan Lindsey Miller | Nurse Practitioner | 231 Medical Park Dr Ste 300, Bluefield, VA 24605-1531 | 2020-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539954 | Meghan Lee Bohach | Specialist/Technologist | 3000 College Dr., Bluefield, VA 24605 | 2019-07-08 |
| 1033579636 | Mt. State Ent & Facial Plastic Surgery, Inc. | Clinic/Center | 2 Westwood Professional Park, Bluefield, VA 24605 | 2016-02-25 |
| 1053719229 | Erika Elaine Bell | Specialist/Technologist | 3000 College Ave, Bluefield, VA 24605 | 2014-12-19 |
| 1487948006 | Fermin Castro | Occupational Therapist | 20 Westwood Memorial Park, Bluefield, VA 24605 | 2011-05-31 |
| 1033422027 | Crewz LLC | Skilled Nursing Facility | Building 20, Westwood Medical Park, Bluefield, VA 24605 | 2010-07-19 |
| 1285966358 | Catherine Gillespie | Speech-Language Pathologist | 108 1/2 Spruce Street, Bluefield, VA 24605 | 2010-02-01 |
| 1790951432 | Derek S Buck | Physical Medicine & Rehabilitation | 111e Sanders Ln, Bluefield, VA 24605 | 2008-05-02 |
| 1275745994 | Christina Lynn Adkins | Occupational Therapist | Westwood Healthcare Center, Westwood Medical Park, Bluefield, VA 24605 | 2007-05-04 |
| 1215158100 | Beth Ann Reed | Physical Therapist | Westwood Center, Westwood Medical Park Rehab Department, Bluefield, VA 24605 | 2007-05-01 |
| 1164543559 | Constance L. Erickson | Speech-Language Pathologist | Westwood Office Park, Bluefield, VA 24605 | 2007-04-03 |
| Find all providers in zip 24605 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659623817 | Ashley Henegar | Physician Assistant | 1027 Frederick St, Bluefield, WV 24701-3942 | 2012-10-11 |
| 1861755910 | Bluefield Hematology/oncology Associates, Inc. | Physician Assistant | 1027 Frederick St, Bluefield, WV 24701-3942 | 2012-06-22 |
| 1447566351 | Sachin Patel | Physician Assistant | 1027 Frederick St, Bluefield, WV 24701-3942 | 2010-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
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| 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.