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STACY MARIE TAVENNER
NPI 1710535091
Nurse Practitioner in Henrico, VA

Active since August 29, 2019
3001 HUNGARY SPRING RD STE C, HENRICO, VA 23228(317) 418-5138 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2022, Aug 29, 2019 (2 updates tracked since 2019).

About Stacy Marie Tavenner NPPES

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

STACY MARIE TAVENNER (NPI 1710535091) is an individual nurse practitioner in Henrico, Virginia, licensed in Georgia (RN212253) and active in the NPI registry since August 2019. She maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1710535091
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACY MARIE TAVENNER
Location Address3001 HUNGARY SPRING RD STE CHenrico, VA 23228-2428
Mailing Address4830 Anvil CtJefferson, GA 30549-8858 · (317) 418-5138
Phone(317) 418-5138
Sole ProprietorNo
Enumeration DateAugust 29, 2019
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1710535091 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
Licenses✔ Licensed in GA · RN212253✔ Licensed in VA · 24185330✔ Licensed in FL · 11021325
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 ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN212253 (GA)
3001 HUNGARY SPRING RD STE C, Henrico, VA 23228
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Secondary Practice Location 1

Location 1400 N Mount Zion RdLebanon, IN 46052-9497 · Phone (765) 335-0123

Other Providers at the Same Location NPPES 4

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

WORKIT HEALTH MI PLLC
General Practice
3001 HUNGARY SPRING RD STE C
HENRICO, VA 23228
Henrico County (804) 415-7156
STACEY RENAE WHITE AGPCNP
Nurse Practitioner (Adult Health)
3001 HUNGARY SPRING RD STE C
HENRICO, VA 23228
Henrico County (804) 415-7156
MRS. CAREY PHILLIPS LMT
Massage Therapist
3001 HUNGARY SPRING RD STE C
RICHMOND, VA 23228
Henrico County (804) 818-6281
WELL INTO LIFE LLC
Massage Therapist
3001 HUNGARY SPRING RD STE C
RICHMOND, VA 23228
Henrico County (804) 818-6281

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 Stacy Tavenner's NPI number?

The NPI number for Stacy Tavenner is 1710535091. It was assigned to this individual provider in the NPPES registry on August 29, 2019.

Where is Stacy Tavenner located?

Stacy Tavenner practices at 3001 Hungary Spring Rd Ste C, Henrico, VA 23228. The listed phone number is (317) 418-5138.

What is Stacy Tavenner'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 Stacy Tavenner was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.