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STACEY T SHEPHERD PA-C
NPI 1679673255
Physician Assistant - Medical in Centreville, VA

Active since September 24, 2006
5645 STONE RD, CENTREVILLE, VA 20120(703) 266-2442(703) 266-7158 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey T Shepherd Pa-c NPPES

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

STACEY T SHEPHERD PA-C (NPI 1679673255) is an individual medical provider in Centreville, Virginia, licensed in Virginia (0110001525) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1679673255
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSTACEY T SHEPHERDCredential: PA-C
Location Address5645 STONE RDCentreville, VA 20120-1618
Mailing Address6705 Jackpin PlGainesville, VA 20155-4459
Phone(703) 266-2442
Fax(703) 266-7158
Sole ProprietorNo
Enumeration DateSeptember 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679673255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110001525
5645 STONE RD, Centreville, VA 20120
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Other Providers at the Same Location NPPES 10

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

ROCKY RUN FAMILY MEDICINE INC
Legal Medicine
5645 STONE RD
CENTREVILLE, VA 20120
Fairfax County (703) 266-2442
DR. COURTNEY KATHERINE RYAN MD
Family Medicine
5645 STONE RD
CENTREVILLE, VA 20120
Fairfax County (703) 266-2442
LEAH ZIMMERMAN FNP-BC
Nurse Practitioner (Family)
5645 STONE RD
CENTREVILLE, VA 20120
Fairfax County (703) 266-2442
MS. ABIGAIL CRISMAN HO FNP-C
Nurse Practitioner (Family)
5645 STONE RD
CENTREVILLE, VA 20120
Fairfax County (703) 266-2442
ROBERT C MANCINI MD
Family Medicine
5645 STONE RD
CENTREVILLE, VA 20120
Fairfax County (703) 266-2442
DR. FELICIA TANNER PINN DNP, RN, FNP-BC
Nurse Practitioner (Family)
5645 STONE RD
CENTREVILLE, VA 20120
Fairfax County (703) 266-2442
BANDANA BASHYAL FNP
Nurse Practitioner (Family)
5645 STONE RD
CENTREVILLE, VA 20120
Fairfax County (703) 266-2442
MRS. LAURIE SUSAN MARKIN MD
Family Medicine
5645 STONE RD
CENTREVILLE, VA 20120
Fairfax County (703) 266-2442

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 Stacey Shepherd's NPI number?

The NPI number for Stacey Shepherd is 1679673255. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Stacey Shepherd located?

Stacey Shepherd practices at 5645 Stone Rd, Centreville, VA 20120. The listed phone number is (703) 266-2442.

What is Stacey Shepherd's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Stacey Shepherd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.