Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710535091 Individual Practitioner Female Practitioner

Stacy Marie Tavenner

Nurse Practitioner • Henrico, VA

Professional Overview & Biography Verified Profile Summary

Stacy Tavenner is a registered healthcare professional specializing in Nurse Practitioner in Henrico, VA. Practice services are available at 3001 HUNGARY SPRING RD STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3001 Hungary Spring Rd Ste C

Henrico, VA 232282428

Telephone 3174185138
Associated Practice Facility / Clinic
🏢 Workit Health Mi Pllc Facility NPI 1013686989

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Henrico, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Henrico, VA (1750 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN212253

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License VA 24185330

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License FL 11021325

(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.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License GA RN212253

Definition to come...

Secondary Practice Locations

400 N Mount Zion Rd

Lebanon, IN 460529497

Phone: 7653350123

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Stacey White , AGPCNP

Nurse Practitioner - Adult Health

NPI 1013689363

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 15, 2022

Registered at 3001 HUNGARY SPRING RD STE C, HENRICO, VA 232282428 (Tel: 3174185138)

📍
Updated Business Mailing Address November 15, 2022

Registered at 4830 ANVIL CT, JEFFERSON, GA 305498858 (Tel: 3174185138)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2022

Nurse Practitioner (License #24185330 in VA)

NPI Profile Active August 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2019

Registered at 400 N MOUNT ZION RD, LEBANON, IN 460529497 (Tel: 7653350123)

📍
Updated Business Mailing Address August 29, 2019

Registered at 3415 EARHART WAY, BUFORD, GA 305193013 (Tel: 3174185138)

👤
Provider Name / Credentials Updated August 29, 2019

Recorded as STACY TAVENNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2019

Nurse Practitioner (License #RN212253 in GA)

🟢
Initial NPI Registration & Enumeration August 29, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710535091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2019
Last Update: November 15, 2022
Sole Proprietor: No

Mailing Address

4830 Anvil Ct

Jefferson, GA 305498858

Phone: 3174185138

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.