MS. MARY BETH STACK NURSE PRACTITIONER
NPI 1437234770
Nurse Practitioner in Charlottesville, VA

Active since October 26, 2006
2955 IVY RD, SUITE 201 UNIVERSITY OF VIRGINIA HEALTH SYSTEM NORTHRID, CHARLOTTESVILLE, VA 22903(434) 243-4531(434) 243-4717 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Mary Beth Stack Nurse Practitioner NPPES

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

MS. MARY BETH STACK NURSE PRACTITIONER (NPI 1437234770) is an individual nurse practitioner in Charlottesville, Virginia, licensed in Virginia (0024096552) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1437234770
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MARY BETH STACKCredential: NURSE PRACTITIONER
Location Address2955 IVY RD, SUITE 201 UNIVERSITY OF VIRGINIA HEALTH SYSTEM NORTHRIDCharlottesville, VA 22903
Mailing Address588 B Reservoir Ridge RdCharlottesville, VA 22901 · (434) 978-1361
Fax(434) 243-4717
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateJanuary 6, 2015
NPI 1437234770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in VA · 0024096552
Definition

(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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 0001096552 (VA)
2955 IVY RD, Charlottesville, VA 22903

Other Identifiers 4

Other500029674Railroad
OtherC07038Cms Group
Medicare UPINP39395
Medicare ID-Type Unspecified500000941

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.

Pediatrics (Neonatal-Perinatal Medicine)
2955 IVY RD
CHARLOTTESVILLE, VA 22903
Pediatrics
2955 IVY RD, SUITE 303
CHARLOTTESVILLE, VA 22903
Internal Medicine (Clinical Cardiac Electrophysiology)
2955 IVY RD, UVA NORTHRIDGE
CHARLOTTESVILLE, VA 22903
Internal Medicine (Cardiovascular Disease)
2955 IVY RD
CHARLOTTESVILLE, VA 22903
Nurse Practitioner
2955 IVY RD
CHARLOTTESVILLE, VA 22903
Obstetrics & Gynecology
2955 IVY RD, STE 304
CHARLOTTESVILLE, VA 22903
Dietitian, Registered
2955 IVY RD, SUITE 201
CHARLOTTESVILLE, VA 22903
Clinic/Center (Rehabilitation, Cardiac Facilities)
2955 IVY RD, SUITE 201
CHARLOTTESVILLE, VA 22903

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 Mary Stack's NPI number?

The NPI number for Mary Stack is 1437234770. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Mary Stack located?

Mary Stack practices at 2955 Ivy Rd Suite 201 University Of Virginia Health System Northrid, Charlottesville, VA 22903. The listed phone number is (434) 243-4531.

What is Mary Stack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Stack was last updated on January 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.