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STACYE DICK GNP-BC
NPI 1124455118
Nurse Practitioner - Gerontology in Chantilly, VA

Active since October 04, 2013
14121 PARKE LONG CT, SUITE 200 & 201, CHANTILLY, VA 20151(571) 449-3585(800) 752-2471 Get Directions Write a Review

NPPES record last updated: October 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacye Dick Gnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACYE DICK GNP-BC (NPI 1124455118) is an individual gerontology provider in Chantilly, Virginia, licensed in Texas (256896) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1124455118
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSTACYE DICKCredential: GNP-BC
Location Address14121 PARKE LONG CT, SUITE 200 & 201Chantilly, VA 20151-1647
Mailing Address14121 Parke Long Ct, Suite 200 & 201Chantilly, VA 20151-1647 · (571) 449-3585 · Fax (800) 752-2471
Phone(571) 449-3585
Fax(800) 752-2471
Sole ProprietorYes
Enumeration DateOctober 4, 2013
✔ NPI 1124455118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 256896
14121 PARKE LONG CT, Chantilly, VA 20151
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BINDHU AICKARETH FNP-C
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Fairfax County (281) 827-7304
CAMILLE RICHARDS
Registered Nurse (Case Management)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Fairfax County (571) 446-3780
MARY BETH VALEK BERGMAN CNP
Nurse Practitioner (Gerontology)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Fairfax County (440) 503-8519
REGAN HOWE
Nurse Practitioner (Family)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Fairfax County (571) 287-2403
MARIE FUANYA
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Fairfax County (703) 592-2471
ANGELA S GOODSON-ACEVEDO
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Fairfax County (571) 449-3585
CYNTHIA LORRAINE ORNER CNP
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Fairfax County (855) 247-1940
CHANTILLY SPECIALISTS, LTD.
Specialist
14121 PARKE LONG CT, SUITE 112
CHANTILLY, VA 20151
Fairfax County (703) 378-3854

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacye Dick's NPI number?

The NPI number for Stacye Dick is 1124455118. It was assigned to this individual provider in the NPPES registry on October 4, 2013.

Where is Stacye Dick located?

Stacye Dick practices at 14121 Parke Long Ct Suite 200 & 201, Chantilly, VA 20151. The listed phone number is (571) 449-3585.

What is Stacye Dick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Stacye Dick was last updated on October 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.