NPIMap

Organization Active NPI

Stanly Regional Medical Center

  • Nurse Practitioner
  • Albemarle, NC
National Provider Identifier
1033134408
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201510 Issued in NC
Legal business name
STANLY REGIONAL MEDICAL CENTER
Practice address
313 Yadkin St
Albemarle, NC 28001-3441
Phone
(704) 984-4595
Fax
(704) 984-4132
NPI assigned
Jul 13, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Pamela Stevens Whitley, MSN, CS-FNP, CWOCN
Title
FNP/Cwocn
Phone
(704) 984-4595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201510 NC Primary

Addresses

Primary practice location

313 Yadkin St
Albemarle, NC 28001-3441

Mailing address

301 Yadkin St
P.O. Box 1489
Albemarle, NC 28001-3441
Phone (704) 984-4595

Other identifiers 1

IdentifierTypeStateIssuer
7000232MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Stanly Regional Medical Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033134408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 YADKIN ST",
            "address_2": "P.O. BOX 1489",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013441",
            "telephone_number": "704-984-4595",
            "fax_number": "704-984-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 YADKIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013441",
            "telephone_number": "704-984-4595",
            "fax_number": "704-984-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLY REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "STEVENS",
        "authorized_official_title_or_position": "FNP/CWOCN",
        "authorized_official_telephone_number": "704-984-4595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, CS-FNP, CWOCN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000232",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.