Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy Cathryn Moore, FNP

Individual provider Family Nurse Practitioner · NPI 1407136773

Stacy Cathryn Moore, FNP is a Nurse Practitioner in Dublin, Virginia. Qualified in 2011, 15 years ago. Practices with Carilion Healthcare Corporation, a 549-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
15
Licensed in
VA
In the registry since
2011
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

118 Broad St
Dublin, VA 24084-3211
Phone: (540) 674-8804
Fax: (540) 678-8670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024169559 (VA)

Record details

NPI number1407136773
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedAugust 18, 2011
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020
Mailing address118 Broad St, Dublin, VA 24084-3211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Carilion Healthcare Corporation — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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